NANDAN N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138735

License Status

NOT RENEWED

Business

Title

First Name

NANDAN

Middle

Last Name

SHAH

Business Name

NANDAN N SHAH MD

Original Issue Date

07/21/2015

Effective Date

08/18/2020

Expiration Date

07/31/2023

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023