ANURADHA PANKIL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043572

License Status

CANCELLED

Business

First Name

ANURADHA

Middle

PANKIL

Last Name

SHAH

Suffix

Business Name

ANURADHA PANKIL SHAH MD

Original Issue Date

06/27/2001

Effective Date

06/27/2001

Expiration Date

06/26/2004

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006