AMAR P SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047852

License Status

CANCELLED

Business

First Name

AMAR

Middle

Last Name

SHAH

Suffix

Business Name

AMAR P SHAH MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/23/2007