TRUSHIL GAURAV SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132471

License Status

NOT RENEWED

Business

Title

First Name

TRUSHIL

Middle

GAURAV

Last Name

SHAH

Business Name

TRUSHIL GAURAV SHAH MD

Original Issue Date

04/16/2013

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60661

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017