PURVI K SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051036

License Status

CANCELLED

Business

First Name

PURVI

Middle

Last Name

SHAH

Suffix

Business Name

PURVI K SHAH MD

Original Issue Date

06/17/2006

Effective Date

06/17/2006

Expiration Date

06/16/2009

City

LINCOLNWOOD

State

Zip

60712

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006