CHINTALBEN DILIPBHAI SHAH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057238

License Status

CANCELLED

Business

First Name

CHINTALBEN

Middle

DILIPBHAI

Last Name

SHAH

Business Name

CHINTALBEN DILIPBHAI SHAH

Original Issue Date

07/10/2009

Effective Date

07/10/2009

Expiration Date

07/09/2012

City

CHICAGO

State

Zip

60649

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/10/2009