SHASHANK JAGDISH DAVE DO
Temporary Medical Permit
Illinois 125042892 Expired
This Illinois license was held by SHASHANK JAGDISH DAVE DO. The license is no longer active. It was granted on 06/24/2001 and expired on 06/23/2004
LICENSE DETAILS
- License Number: 125042892
- Category: TEMPORARY MEDICAL PERMIT
- Status: Expired
- Date Granted: 06/24/2001 (about 24 years ago)
- Expiry Date: 06/23/2004 (about 21 years ago)
LOCATIONS
A Address
Bourbonnais, IL 60914-1662