PAYAL KIRTIKANT SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057424

License Status

CANCELLED

Business

Title

First Name

PAYAL

Middle

KIRTIKANT

Last Name

SHAH

Business Name

PAYAL KIRTIKANT SHAH MD

Original Issue Date

06/25/2010

Effective Date

06/25/2010

Expiration Date

06/24/2013

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2010