ASHISH MALENDRA SHAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056635

License Status

CANCELLED

Business

Title

First Name

ASHISH

Middle

MALENDRA

Last Name

SHAH

Business Name

ASHISH MALENDRA SHAH DO

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2009