LISA PRASHANT SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036135753

License Status

NOT RENEWED

Business

Title

First Name

LISA

Middle

PRASHANT

Last Name

SHAH

Business Name

LISA PRASHANT SHAH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017