PARAG PRAVIN SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044412

License Status

EXPIRED

Business

First Name

PARAG

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

PARAG PRAVIN SHAH MD

Original Issue Date

07/02/2002

Effective Date

07/02/2002

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006