DEEPAK B SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014366

License Status

EXPIRED

Business

First Name

DEEPAK

Middle

Last Name

SHAH

Business Name

DEEPAK B SHAH

Original Issue Date

06/25/1982

Effective Date

06/25/1982

Expiration Date

07/01/1984

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Ever Disciplined

LastModifiedDate

09/22/2006