RIAZ ALI SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048815

License Status

EXPIRED

Business

First Name

RIAZ

Middle

ALI

Last Name

SHAH

Suffix

Business Name

RIAZ ALI SHAH MD

Original Issue Date

09/16/2004

Effective Date

09/16/2004

Expiration Date

09/15/2007

City

CHICAGO

State

Zip

60661

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/19/2007