GHANSHYAM M SHAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096146

License Status

ACTIVE

Business

First Name

GHANSHYAM M

Last Name

SHAH

Business Name

GHANSHYAM M SHAH

Original Issue Date

07/29/1997

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

07/21/2023