SHEETAL ASHISH SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055996

License Status

EXPIRED

Business

Title

First Name

SHEETAL

Middle

ASHISH

Last Name

SHAH

Business Name

SHEETAL ASHISH SHAH DO

Original Issue Date

06/27/2012

Effective Date

06/27/2012

Expiration Date

09/14/2012

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2012