DEEPA V SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045387

License Status

EXPIRED

Business

First Name

DEEPA

Middle

Last Name

SHAH

Suffix

Business Name

DEEPA V SHAH MD

Original Issue Date

07/25/2002

Effective Date

07/25/2002

Expiration Date

07/24/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006