RUCHI DHIREN SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056424

License Status

EXPIRED

Business

Title

First Name

RUCHI

Middle

DHIREN

Last Name

SHAH

Business Name

RUCHI DHIREN SHAH MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/29/2012