ALAP PRADIP SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055207

License Status

CANCELLED

Business

Title

First Name

ALAP

Middle

PRADIP

Last Name

SHAH

Business Name

ALAP PRADIP SHAH MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

LA GRANGE

State

Zip

60525

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/07/2010