SHASHI KIRAN BELLAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

SHASHI

Middle

KIRAN

Last Name

BELLAM

Suffix

Business Name

SHASHI KIRAN BELLAM MD

Original Issue Date

06/19/2000

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023