TEJASKUMAR M SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129481

License Status

NOT RENEWED

Business

Title

First Name

TEJASKUMAR

Middle

Last Name

SHAH

Business Name

TEJASKUMAR M SHAH MD

Original Issue Date

01/18/2012

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017