SHILPA DHRUVA TILWALLI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

NOT RENEWED

Business

First Name

SHILPA

Middle

DHRUVA

Last Name

TILWALLI

Suffix

Business Name

SHILPA DHRUVA TILWALLI MD

Original Issue Date

07/05/2007

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020