NIKITA C SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029276

License Status

EXPIRED

Business

First Name

NIKITA C

Last Name

SHAH

Business Name

NIKITA C SHAH

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

06/23/1996

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006