AMI N SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059809

License Status

CANCELLED

Business

Title

First Name

AMI

Middle

Last Name

SHAH

Business Name

AMI N SHAH MD

Original Issue Date

06/23/2011

Effective Date

06/23/2011

Expiration Date

06/22/2014

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/08/2011