RITA R SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031131

License Status

EXPIRED

Business

First Name

RITA R

Last Name

SHAH

Business Name

RITA R SHAH

Original Issue Date

05/13/1994

Effective Date

05/13/1994

Expiration Date

06/30/1997

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006