ASHVIN N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058180

License Status

NOT RENEWED

Business

Title

First Name

ASHVIN

Middle

Last Name

SHAH

Business Name

ASHVIN N SHAH MD

Original Issue Date

11/20/1978

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

FLOSSMOOR

State

Zip

60422

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1992005876

Action

Probation

Discipline Start Date

11/08/2001

Discipline End Date

07/17/2007