NAYNA VISHAL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056800

License Status

CANCELLED

Business

Title

First Name

NAYNA

Middle

VISHAL

Last Name

SHAH

Business Name

NAYNA VISHAL SHAH MD

Original Issue Date

06/22/2009

Effective Date

06/22/2009

Expiration Date

06/21/2012

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/02/2009