MANISHA SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037691

License Status

EXPIRED

Business

First Name

MANISHA

Last Name

SHAH

Suffix

Business Name

MANISHA SHAH DO

Original Issue Date

05/13/1998

Effective Date

05/13/1998

Expiration Date

06/14/2001

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006