RAVI DIPAK SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050302

License Status

EXPIRED

Business

First Name

RAVI

Middle

DIPAK

Last Name

SHAH

Suffix

Business Name

RAVI DIPAK SHAH MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/30/2008

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/31/2008