NILESH H SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017744

License Status

EXPIRED

Business

First Name

NILESH H

Last Name

SHAH

Suffix

Business Name

NILESH H SHAH MD

Original Issue Date

12/17/1984

Effective Date

12/17/1984

Expiration Date

01/01/1987

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006