License holder summary

Kaustubh Kailash Shrivastava is a Medical Board - 57.Md Training Certificate licensed to practice in Ohio. The address on file for Kaustubh Kailash Shrivastava is Mercy St Vincent Medical Center, c/o Internal Medicine Dept, 2213 Cherry Street, Toledo, OH 43608. This licensed professional license is current. The license was granted 10/21/2011 and expired on 07/31/2014.

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

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