ANSUYA S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054371

License Status

NOT RENEWED

Business

First Name

ANSUYA S

Last Name

SHAH

Suffix

Business Name

ANSUYA S SHAH MD

Original Issue Date

03/18/1977

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/17/2014