SHREYASI H DALAL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061859

License Status

NOT RENEWED

Business

First Name

SHREYASI H

Last Name

DALAL

Suffix

Business Name

SHREYASI H DALAL MD

Original Issue Date

03/20/1981

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MERILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

11/06/2008