ATIT S SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055819

License Status

EXPIRED

Business

First Name

ATIT

Middle

Last Name

SHAH

Business Name

ATIT S SHAH

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2010

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/24/2010