PALLAVI M SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023054

License Status

EXPIRED

Business

First Name

PALLAVI

Middle

Last Name

SHAH

Suffix

Business Name

PALLAVI M SHAH MD

Original Issue Date

07/18/1988

Effective Date

07/18/1988

Expiration Date

07/01/1991

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

03/05/2009