ARVIND K SHUKLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

NOT RENEWED

Business

First Name

ARVIND K

Last Name

SHUKLA

Suffix

Business Name

ARVIND K SHUKLA MD

Original Issue Date

10/07/1991

Effective Date

10/07/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020