KALYANI D SHAH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113808

License Status

INACTIVE

Business

First Name

KALYANI

Middle

Last Name

SHAH

Business Name

KALYANI D SHAH

Original Issue Date

05/27/2005

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/08/2014