S TAHIR AHMAD SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046340

License Status

INACTIVE

Business

First Name

S TAHIR AHMAD

Last Name

SHAH

Suffix

Business Name

S TAHIR AHMAD SHAH MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

Expiration Date

07/31/2002

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006