GALAXY P SHAH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057226

License Status

CANCELLED

Business

First Name

GALAXY

Middle

Last Name

SHAH

Business Name

GALAXY P SHAH

Original Issue Date

07/08/2009

Effective Date

07/08/2009

Expiration Date

07/07/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/08/2009