SHRUTI SHRIKANT SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050925

License Status

EXPIRED

Business

First Name

SHRUTI

Middle

SHRIKANT

Last Name

SHAH

Suffix

Business Name

SHRUTI SHRIKANT SHAH MD

Original Issue Date

06/26/2006

Effective Date

06/26/2006

Expiration Date

06/25/2009

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009