SHILPI PRADHAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

Title

First Name

SHILPI

Last Name

PRADHAN

Business Name

SHILPI PRADHAN MD

Original Issue Date

07/23/2009

Effective Date

07/29/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63132

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014