SIDDHARTH P SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118148

License Status

NOT RENEWED

Business

First Name

SIDDHARTH

Middle

Last Name

SHAH

Business Name

SIDDHARTH P SHAH

Original Issue Date

04/16/2007

Effective Date

04/16/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008