SURENDRA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063334

License Status

NOT RENEWED

Business

First Name

SURENDRA

Last Name

SHAH

Suffix

Business Name

SURENDRA SHAH MD

Original Issue Date

10/01/1981

Effective Date

10/01/1981

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60626

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006