BASHARAT A SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116972

License Status

NOT RENEWED

Business

Title

First Name

BASHARAT

Middle

Last Name

SHAH

Business Name

BASHARAT A SHAH MD

Original Issue Date

10/02/2006

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014