NILESH H SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072733

License Status

NOT RENEWED

Business

First Name

NILESH H

Last Name

SHAH

Suffix

Business Name

NILESH H SHAH MD

Original Issue Date

05/16/1986

Effective Date

05/16/1986

Expiration Date

07/31/1990

City

PEORIA

State

Zip

61603

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/20/2006