AMIT A SHAH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111941

License Status

INACTIVE

Business

First Name

AMIT

Middle

Last Name

SHAH

Business Name

AMIT A SHAH

Original Issue Date

07/26/2004

Effective Date

07/26/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

12/16/2013