SUMIN BHAGWANDAS SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103782

License Status

ACTIVE

Business

First Name

SUMIN

Middle

BHAGWANDAS

Last Name

SHAH

Suffix

Business Name

SUMIN BHAGWANDAS SHAH DO

Original Issue Date

11/09/2000

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

04/28/2023