MIHIR SANJAY SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059315

License Status

CANCELLED

Business

Title

First Name

MIHIR

Middle

SANJAY

Last Name

SHAH

Business Name

MIHIR SANJAY SHAH MD

Original Issue Date

06/24/2011

Effective Date

06/24/2011

Expiration Date

06/23/2014

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/16/2011