BIMAL D SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047856

License Status

EXPIRED

Business

First Name

BIMAL

Middle

Last Name

SHAH

Suffix

Business Name

BIMAL D SHAH MD

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

06/23/2005

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006