VIJAYASHREE P SHANKAR Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

VIJAYASHREE P

Last Name

SHANKAR

Business Name

VIJAYASHREE P SHANKAR

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006