SAUMIL M SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049614

License Status

CANCELLED

Business

First Name

SAUMIL

Middle

Last Name

SHAH

Suffix

Business Name

SAUMIL M SHAH MD

Original Issue Date

06/15/2005

Effective Date

06/15/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60610

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006