MIKUL D SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124822

License Status

NOT RENEWED

Business

First Name

MIKUL

Middle

Last Name

SHAH

Suffix

Business Name

MIKUL D SHAH MD

Original Issue Date

01/11/2010

Effective Date

01/11/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011