PRIYA M SHASTRI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

PRIYA

Middle

Last Name

SHASTRI

Suffix

Business Name

PRIYA M SHASTRI MD

Original Issue Date

06/21/2006

Effective Date

07/22/2023

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/22/2023