PRIT JITENDRA SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060848

License Status

CANCELLED

Business

Title

First Name

PRIT

Middle

JITENDRA

Last Name

SHAH

Business Name

PRIT JITENDRA SHAH MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/24/2014