TARA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050710

License Status

NOT RENEWED

Business

First Name

TARA

Last Name

SHAH

Suffix

Business Name

TARA SHAH MD

Original Issue Date

02/25/1975

Effective Date

02/25/1975

Expiration Date

07/31/2002

City

OAK BROOK

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006