SHEFALI NAVIN SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045921

License Status

CANCELLED

Business

First Name

SHEFALI

Middle

NAVIN

Last Name

SHAH

Suffix

Business Name

SHEFALI NAVIN SHAH MD

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

06/23/2007

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006