GAURAV R SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113972

License Status

INACTIVE

Business

First Name

GAURAV

Middle

Last Name

SHAH

Suffix

Business Name

GAURAV R SHAH MD

Original Issue Date

06/22/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

02/12/2013