JUGALKISHOR K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052236

License Status

NOT RENEWED

Business

First Name

JUGALKISHOR K

Last Name

SHAH

Suffix

Business Name

JUGALKISHOR K SHAH MD

Original Issue Date

12/19/1975

Effective Date

12/19/1975

Expiration Date

07/01/1982

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006