PRAMOD A SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065401

License Status

NOT RENEWED

Business

First Name

PRAMOD A

Last Name

SHAH

Suffix

Business Name

PRAMOD A SHAH MD

Original Issue Date

10/06/1982

Effective Date

10/06/1982

Expiration Date

07/31/1987

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006