ANISH NITISH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141412

License Status

NOT RENEWED

Business

Title

First Name

ANISH

Middle

NITISH

Last Name

SHAH

Business Name

ANISH NITISH SHAH MD

Original Issue Date

08/02/2016

Effective Date

08/02/2016

Expiration Date

07/31/2017

City

BUFFALO GROVE

State

Zip

60089

County

LAKE

Ever Disciplined

LastModifiedDate

11/01/2017