BHAVESH A SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101053

License Status

NOT RENEWED

Business

First Name

BHAVESH

Middle

Last Name

SHAH

Business Name

BHAVESH A SHAH

Original Issue Date

08/18/1999

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

01/14/2021