NIYANTIKA A SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056691

License Status

NOT RENEWED

Business

First Name

NIYANTIKA A

Last Name

SHAH

Suffix

Business Name

NIYANTIKA A SHAH MD

Original Issue Date

04/17/1978

Effective Date

04/17/1978

Expiration Date

07/01/1982

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006