MOUSAMI S SHAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110949

License Status

ACTIVE

Business

First Name

MOUSAMI

Middle

Last Name

SHAH

Business Name

MOUSAMI S SHAH

Original Issue Date

03/05/2004

Effective Date

04/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

04/29/2023