IZZAT H SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081095

License Status

NOT RENEWED

Business

First Name

IZZAT H

Last Name

SHAH

Business Name

IZZAT H SHAH

Original Issue Date

07/19/1990

Effective Date

07/19/1990

Expiration Date

07/31/1999

City

VILLA PARK

State

Zip

60181

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006