PRANJAL HEMANTBHAI SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048869

License Status

EXPIRED

Business

First Name

PRANJAL

Middle

HEMANTBHAI

Last Name

SHAH

Suffix

Business Name

PRANJAL HEMANTBHAI SHAH MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2008

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/26/2008