SHANKAR DAS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

SHANKAR

Last Name

DAS

Suffix

Business Name

SHANKAR DAS MD

Original Issue Date

10/17/2007

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017