BIMAL R SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021025

License Status

EXPIRED

Business

First Name

BIMAL

Middle

Last Name

SHAH

Business Name

BIMAL R SHAH

Original Issue Date

05/28/1987

Effective Date

05/28/1987

Expiration Date

06/22/1990

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006