VIBHAKAR S SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053632

License Status

INACTIVE

Business

First Name

VIBHAKAR S

Last Name

SHAH

Suffix

Business Name

VIBHAKAR S SHAH MD

Original Issue Date

09/17/1976

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

04/05/2020