RITA R SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093557

License Status

NOT RENEWED

Business

First Name

RITA R

Last Name

SHAH

Business Name

RITA R SHAH

Original Issue Date

07/13/1996

Effective Date

07/13/1996

Expiration Date

07/31/2002

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006