HARISH AMBALAL SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014983

License Status

EXPIRED

Business

First Name

HARISH AMBALAL

Last Name

SHAH

Business Name

HARISH AMBALAL SHAH

Original Issue Date

09/10/1982

Effective Date

09/10/1982

Expiration Date

06/29/1984

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006