AMY H SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112660

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

SHAH

Business Name

AMY H SHAH

Original Issue Date

11/16/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008