GHANSHYAM M SHAH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033547

License Status

CANCELLED

Business

First Name

GHANSHYAM M

Last Name

SHAH

Business Name

GHANSHYAM M SHAH

Original Issue Date

06/24/1995

Effective Date

06/24/1995

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006