DEEPTA SHANKAR ATRE STRAND MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

DEEPTA

Middle

SHANKAR

Last Name

ATRE STRAND

Business Name

DEEPTA SHANKAR ATRE STRAND MD

Original Issue Date

04/20/2009

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017