ANAND PRAVIN SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049549

License Status

CANCELLED

Business

First Name

ANAND

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

ANAND PRAVIN SHAH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

09/22/2006