Mysore N Shivaram Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036044121

Status

Expired (Not Renewed)

First issued

March 23, 1971

Expired

July 31, 2023

License holder

Mysore N Shivaram Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

09/14/2020

Other Illinois licenses under this name

• IL
  Mysore N Shivaram Md

  License 33*****34

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Oak Brook, IL

  Expired Jul 31, 2023

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