SHIVANI PANKAJ SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049028

License Status

EXPIRED

Business

First Name

SHIVANI

Middle

PANKAJ

Last Name

SHAH

Suffix

Business Name

SHIVANI PANKAJ SHAH MD

Original Issue Date

06/20/2005

Effective Date

06/20/2005

Expiration Date

06/19/2008

City

MAYWOOD

State

Zip

60153

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

06/26/2008