ANAND ANILKUMAR SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059735

License Status

CANCELLED

Business

Title

First Name

ANAND

Middle

ANILKUMAR

Last Name

SHAH

Business Name

ANAND ANILKUMAR SHAH MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2014

City

AURORA

State

Zip

60504

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014