ILA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061434

License Status

NOT RENEWED

Business

First Name

ILA

Last Name

SHAH

Suffix

Business Name

ILA SHAH MD

Original Issue Date

12/19/1980

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017