ROHAN SAMIR SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125059992

License Status

CANCELLED

Business

Title

First Name

ROHAN

Middle

SAMIR

Last Name

SHAH

Business Name

ROHAN SAMIR SHAH MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

05/01/2014