PALAK SHAH DHOLAKIA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054439

License Status

CANCELLED

Business

Title

First Name

PALAK

Middle

SHAH

Last Name

DHOLAKIA

Business Name

PALAK SHAH DHOLAKIA MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2012

City

LAKE FOREST

State

Zip

60045

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/06/2011