MARK PRITHVI SHASHIKANT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169392

License Status

ACTIVE

Business

Title

First Name

MARK

Middle

PRITHVI

Last Name

SHASHIKANT

Business Name

MARK PRITHVI SHASHIKANT MD

Original Issue Date

03/19/2024

Effective Date

03/19/2024

Expiration Date

07/31/2026

City

NORFOLK

State

Zip

68701

County

MADISON

Ever Disciplined

LastModifiedDate

03/19/2024