PRATIMA M SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058415

License Status

NOT RENEWED

Business

First Name

PRATIMA M

Last Name

SHAH

Suffix

Business Name

PRATIMA M SHAH MD

Original Issue Date

03/16/1979

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017