KULSOOM SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028970

License Status

EXPIRED

Business

First Name

KULSOOM

Last Name

SHAH

Business Name

KULSOOM SHAH

Original Issue Date

07/02/1992

Effective Date

07/02/1992

Expiration Date

06/30/1995

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006