JAYEN C SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013569

License Status

EXPIRED

Business

First Name

JAYEN C

Last Name

SHAH

Suffix

Business Name

JAYEN C SHAH MD

Original Issue Date

11/06/1981

Effective Date

11/06/1981

Expiration Date

11/02/1983

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006