FAUZIA RAFAT SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109830

License Status

NOT RENEWED

Business

First Name

FAUZIA

Middle

RAFAT

Last Name

SHAH

Suffix

Business Name

FAUZIA RAFAT SHAH MD

Original Issue Date

08/01/2003

Effective Date

08/01/2003

Expiration Date

07/31/2005

City

NORRIDGE

State

Zip

60706

County

COOK

Ever Disciplined

LastModifiedDate

07/03/2008