NEHA SUREKH SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061040

License Status

EXPIRED

Business

Title

First Name

NEHA

Middle

SUREKH

Last Name

SHAH

Business Name

NEHA SUREKH SHAH DO

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/04/2015