SHAMITA B SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118187

License Status

NOT RENEWED

Business

First Name

SHAMITA

Middle

Last Name

SHAH

Suffix

Business Name

SHAMITA B SHAH MD

Original Issue Date

04/18/2007

Effective Date

04/18/2007

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008