NIRAV KAMLESH SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052332

License Status

EXPIRED

Business

First Name

NIRAV

Middle

KAMLESH

Last Name

SHAH

Suffix

Business Name

NIRAV KAMLESH SHAH MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

07/19/2011