HANSA B SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048415

License Status

NOT RENEWED

Business

First Name

HANSA B

Last Name

SHAH

Suffix

Business Name

HANSA B SHAH MD

Original Issue Date

10/06/1973

Effective Date

10/06/1973

Expiration Date

07/31/1987

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006