HARSHAL SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055590

License Status

EXPIRED

Business

First Name

HARSHAL

Last Name

SHAH

Suffix

Business Name

HARSHAL SHAH MD

Original Issue Date

12/09/2008

Effective Date

12/09/2008

Expiration Date

12/08/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

01/18/2012