RUPA M SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049666

License Status

NOT RENEWED

Business

First Name

RUPA M

Last Name

SHAH

Suffix

Business Name

RUPA M SHAH MD

Original Issue Date

08/28/1974

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017