PRAVIN S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055437

License Status

NOT RENEWED

Business

First Name

PRAVIN S

Last Name

SHAH

Suffix

Business Name

PRAVIN S SHAH MD

Original Issue Date

08/11/1977

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

DOWNERS GROVE

State

Zip

60515

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023