SHAUNAK V RANA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

SHAUNAK

Middle

Last Name

RANA

Suffix

Business Name

SHAUNAK V RANA MD

Original Issue Date

12/29/2011

Effective Date

12/29/2011

Expiration Date

07/31/2014

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017