JAY VIPUL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133075

License Status

NOT RENEWED

Business

First Name

JAY

Middle

VIPUL

Last Name

SHAH

Suffix

Business Name

JAY VIPUL SHAH MD

Original Issue Date

05/28/2013

Effective Date

05/28/2013

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014