SHANTI LYNNE ESWARAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****75

License Status

NOT RENEWED

Business

Title

First Name

SHANTI

Middle

LYNNE

Last Name

ESWARAN

Business Name

SHANTI LYNNE ESWARAN MD

Original Issue Date

09/27/2007

Effective Date

06/05/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011