JAY DHIREN SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125034

License Status

NOT RENEWED

Business

First Name

JAY

Middle

DHIREN

Last Name

SHAH

Business Name

JAY DHIREN SHAH

Original Issue Date

02/23/2010

Effective Date

06/23/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017