DIPAK T SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017714

License Status

EXPIRED

Business

First Name

DIPAK T

Last Name

SHAH

Suffix

Business Name

DIPAK T SHAH MD

Original Issue Date

11/26/1984

Effective Date

11/26/1984

Expiration Date

10/29/1986

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006