KAVITA R SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058944

License Status

EXPIRED

Business

Title

First Name

KAVITA

Middle

Last Name

SHAH

Business Name

KAVITA R SHAH MD

Original Issue Date

07/26/2010

Effective Date

07/26/2010

Expiration Date

07/25/2013

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

10/07/2013