KSHAMA PANKAJ SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061448

License Status

CANCELLED

Business

First Name

KSHAMA

Middle

PANKAJ

Last Name

SHAH

Suffix

Business Name

KSHAMA PANKAJ SHAH MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2016

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

02/26/2015