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 The license is no longer active.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