BASHARAT A SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050493

License Status

EXPIRED

Business

Title

First Name

BASHARAT

Middle

Last Name

SHAH

Business Name

BASHARAT A SHAH MD

Original Issue Date

08/01/2005

Effective Date

08/01/2005

Expiration Date

07/31/2007

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2007