SUJAY Y SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145399

License Status

NOT RENEWED

Business

First Name

SUJAY

Middle

Last Name

SHAH

Suffix

Business Name

SUJAY Y SHAH MD

Original Issue Date

03/21/2018

Effective Date

03/21/2018

Expiration Date

09/30/2020

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021