DIVYA SARATH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143788

License Status

NOT RENEWED

Business

Title

First Name

DIVYA

Middle

SARATH

Last Name

SHAH

Business Name

DIVYA SARATH SHAH MD

Original Issue Date

07/07/2017

Effective Date

07/07/2017

Expiration Date

09/30/2020

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

01/14/2021