Ohio
Board of Licensing
Kaustubh Kailash Shrivastava
Medical Board - 57.Md Training Certificate
License number
57.020357
Date granted
10/21/2011
Date expires
07/31/2014
Class
Medical Board - 57.Md Training Certificate
Status
Active (In Renewal)
Address
Mercy St Vincent Medical Center, c/o Internal Medicine Dept, 2213 Cherry Street, Toledo, OH 43608
ohiolicensing.org
ID 29443419
LAST UPDATED 2024-03-17 08:48:21 UTC
LAST UPDATED 2024-03-17 08:48:21 UTC