SHASHANK JAGDISH DAVE DO

Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )

Illinois  336073947   Not Renewed

This Illinois license was held by SHASHANK JAGDISH DAVE DO. The license is no longer active. It was granted on 03/10/2005 and expired on 07/31/2014

LICENSE DETAILS

  • License Number: 336073947
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
  • Status: Not Renewed
  • Date Granted: 03/10/2005 (about 20 years ago)
  • Expiry Date: 07/31/2014 (almost 11 years ago)

LOCATIONS

A Address

Bourbonnais, IL 60914-1662