PUNITA SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038897

License Status

CANCELLED

Business

First Name

PUNITA

Last Name

SHAH

Suffix

Business Name

PUNITA SHAH MD

Original Issue Date

01/01/1999

Effective Date

01/01/1999

Expiration Date

12/31/2002

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006