SAMIR RAJENDRA SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049287

License Status

EXPIRED

Business

Title

First Name

SAMIR

Middle

RAJENDRA

Last Name

SHAH

Business Name

SAMIR RAJENDRA SHAH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/31/2008