Mysore S Shivaram Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036052319

Status

Inactive

First issued

January 16, 1976

Expired

July 31, 1987

License holder

Mysore S Shivaram Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

01/16/1976

Other Illinois licenses under this name

• IL
  Mysore S Shivaram Md

  License 33*****68

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Chicago, IL

  Expired Sep 1, 1982

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