Shantha Ursell
InactiveIllinois license 036045365
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 036045365
- Status
- Inactive
- First issued
- February 4, 1972
- Expired
- July 31, 1987
- License holder
- Shantha Ursell
- Entity type
- Individual
Classifications
- Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons
More from the license record
- Current term began
- 02/04/1972
Other Illinois licenses under this name
-
IL
ExpiredChicago, ILExpired Sep 1, 1982
Contact
New York, NY 10023
New York County