SUMIN BHAGWANDAS SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038423

License Status

EXPIRED

Business

First Name

SUMIN

Middle

BHAGWANDAS

Last Name

SHAH

Suffix

Business Name

SUMIN BHAGWANDAS SHAH DO

Original Issue Date

07/01/1998

Effective Date

07/01/1998

Expiration Date

06/30/2001

City

ORLAND PARK

State

Zip

60467

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006