MAHASUKH H SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062233

License Status

NOT RENEWED

Business

First Name

MAHASUKH

Middle

Last Name

SHAH

Suffix

Business Name

MAHASUKH H SHAH MD

Original Issue Date

06/02/1981

Effective Date

04/22/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017