RAVI P GRIVOIS-SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049684

License Status

EXPIRED

Business

First Name

RAVI

Middle

Last Name

GRIVOIS-SHAH

Suffix

Business Name

RAVI P GRIVOIS-SHAH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008