CHANDRA R SHIVPURI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082557

License Status

NOT RENEWED

Business

First Name

CHANDRA R

Last Name

SHIVPURI

Suffix

Business Name

CHANDRA R SHIVPURI MD

Original Issue Date

06/05/1991

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

FOX POINT

State

Zip

53217

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/06/2008