INDRAVADAN S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049101

License Status

NOT RENEWED

Business

First Name

INDRAVADAN S

Last Name

SHAH

Suffix

Business Name

INDRAVADAN S SHAH MD

Original Issue Date

03/26/1974

Effective Date

03/26/1974

City

CHICAGO

State

Zip

60640

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006