EKTA BAXI SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048453

License Status

EXPIRED

Business

First Name

EKTA

Middle

BAXI

Last Name

SHAH

Suffix

Business Name

EKTA BAXI SHAH MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Allergy & Immunology

Ever Disciplined

LastModifiedDate

07/15/2009