CHANDRAVADAN I SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018759

License Status

EXPIRED

Business

First Name

CHANDRAVADAN

Middle

Last Name

SHAH

Suffix

Business Name

CHANDRAVADAN I SHAH MD

Original Issue Date

06/26/1985

Effective Date

06/26/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006