PRAVIN S SHAH MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003777

License Status

NOT RENEWED

Business

Business Name

PRAVIN S SHAH MD SC

Original Issue Date

08/30/1979

Effective Date

08/30/1979

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/26/2006