FAUZIA RAFAT SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040363

License Status

EXPIRED

Business

First Name

FAUZIA

Middle

RAFAT

Last Name

SHAH

Suffix

Business Name

FAUZIA RAFAT SHAH MD

Original Issue Date

06/25/1999

Effective Date

06/25/1999

Expiration Date

08/01/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006