SONALI SHUKLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111039

License Status

NOT RENEWED

Business

First Name

SONALI

Last Name

SHUKLA

Suffix

Business Name

SONALI SHUKLA MD

Original Issue Date

03/18/2004

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

SCHERERVILLE

State

Zip

46375

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017