RICKY BHARAT SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049286

License Status

CANCELLED

Business

First Name

RICKY

Middle

BHARAT

Last Name

SHAH

Suffix

Business Name

RICKY BHARAT SHAH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006