GAURAV BIPIN SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125051920

License Status

EXPIRED

Business

Title

First Name

GAURAV

Middle

BIPIN

Last Name

SHAH

Business Name

GAURAV BIPIN SHAH DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

07/15/2009