PRATIK PRAVIN SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051428

License Status

EXPIRED

Business

First Name

PRATIK

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

PRATIK PRAVIN SHAH MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/15/2009