SAPNA NAVINCHANDRA SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057233

License Status

EXPIRED

Business

Title

First Name

SAPNA

Middle

NAVINCHANDRA

Last Name

SHAH

Business Name

SAPNA NAVINCHANDRA SHAH DO

Original Issue Date

07/09/2009

Effective Date

07/09/2009

Expiration Date

07/08/2012

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012