AMBRISH C SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017285

License Status

EXPIRED

Business

First Name

AMBRISH

Middle

Last Name

SHAH

Business Name

AMBRISH C SHAH

Original Issue Date

06/26/1984

Effective Date

06/26/1984

Expiration Date

06/26/1986

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006