PUSHPALATA S SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047089

License Status

INACTIVE

Business

First Name

PUSHPALATA S

Last Name

SHAH

Suffix

Business Name

PUSHPALATA S SHAH MD

Original Issue Date

02/07/1973

Effective Date

05/11/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014