CHETAN R SHUKLA MBBS Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097268

License Status

INACTIVE

Business

First Name

CHETAN

Middle

Last Name

SHUKLA

Suffix

MBBS

Business Name

CHETAN R SHUKLA MBBS

Original Issue Date

02/03/1998

Effective Date

02/03/1998

Expiration Date

07/31/1999

City

PHILADELPHIA

State

Zip

19114

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006