HEERAL RAMESH SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048917

License Status

EXPIRED

Business

First Name

HEERAL

Middle

RAMESH

Last Name

SHAH

Suffix

Business Name

HEERAL RAMESH SHAH MD

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

06/14/2006

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006