JAI DEVENDRA SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049884

License Status

EXPIRED

Business

First Name

JAI

Middle

DEVENDRA

Last Name

SHAH

Suffix

Business Name

JAI DEVENDRA SHAH MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

HIGHLAND PARK

State

Zip

60035

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

07/31/2008