JAGDISH R SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053083

License Status

NOT RENEWED

Business

First Name

JAGDISH

Middle

Last Name

SHAH

Suffix

Business Name

JAGDISH R SHAH MD

Original Issue Date

06/15/1976

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2014002469

Action

Surrender In Lieu Of Other Discipline

Discipline Start Date

08/19/2015

Discipline Reason

after he pled guilty to criminal charge related to healthcare fraud.