CHIRAGI MITUL SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050334

License Status

EXPIRED

Business

First Name

CHIRAGI

Middle

MITUL

Last Name

SHAH

Business Name

CHIRAGI MITUL SHAH

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

ARLINGTON HEIGHTS

State

Zip

60004

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/31/2008