DIPAK PRAVIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115429

License Status

NOT RENEWED

Business

First Name

DIPAK

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

DIPAK PRAVIN SHAH MD

Original Issue Date

03/15/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011