SHISHIR V SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038422

License Status

EXPIRED

Business

First Name

SHISHIR

Middle

Last Name

SHAH

Suffix

Business Name

SHISHIR V SHAH DO

Original Issue Date

06/22/1998

Effective Date

06/22/1998

Expiration Date

06/21/2001

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006