BHAVNA RAJESH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065294

License Status

NOT RENEWED

Business

First Name

BHAVNA RAJESH

Last Name

SHAH

Suffix

Business Name

BHAVNA RAJESH SHAH MD

Original Issue Date

09/09/1982

Effective Date

09/09/1982

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60645

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006