BHAVYA R SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036133478

License Status

NOT RENEWED

Business

Title

First Name

BHAVYA

Middle

Last Name

SHAH

Business Name

BHAVYA R SHAH MD

Original Issue Date

07/08/2013

Effective Date

08/20/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60605

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017