ANIL R SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041326

License Status

EXPIRED

Business

First Name

ANIL

Middle

Last Name

SHAH

Suffix

Business Name

ANIL R SHAH MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60654

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

09/22/2006