PRAVIN S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055245

License Status

NOT RENEWED

Business

First Name

PRAVIN

Middle

Last Name

SHAH

Suffix

Business Name

PRAVIN S SHAH MD

Original Issue Date

08/11/1977

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

1988000131

Action

Probation

Discipline Start Date

12/04/1995

Discipline End Date

12/03/1997