ADITI MAYANK SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052214

License Status

CANCELLED

Business

First Name

ADITI

Middle

MAYANK

Last Name

SHAH

Suffix

Business Name

ADITI MAYANK SHAH MD

Original Issue Date

06/19/2007

Effective Date

06/19/2007

Expiration Date

06/18/2010

City

MELROSE PARK

State

Zip

60160

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

02/02/2007