GARGI SHAILESHKUMAR SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060878

License Status

EXPIRED

Business

First Name

GARGI

Middle

SHAILESHKUMAR

Last Name

SHAH

Suffix

Business Name

GARGI SHAILESHKUMAR SHAH MD

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015