SAMIR C SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073496

License Status

NOT RENEWED

Business

First Name

SAMIR C

Last Name

SHAH

Suffix

Business Name

SAMIR C SHAH MD

Original Issue Date

08/14/1986

Effective Date

08/14/1986

Expiration Date

07/31/1990

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006