KISHOR HANSRAJ SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061631

License Status

NOT RENEWED

Business

First Name

KISHOR HANSRAJ

Last Name

SHAH

Suffix

Business Name

KISHOR HANSRAJ SHAH MD

Original Issue Date

02/11/1981

Effective Date

02/11/1981

Expiration Date

07/31/1984

City

LAGRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1983000190

Action

Suspension

Discipline Start Date

12/05/1984