AMI R SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125714

License Status

ACTIVE

Business

First Name

AMI

Middle

Last Name

SHAH

Suffix

Business Name

AMI R SHAH DO

Original Issue Date

05/10/2010

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2023