NISHIT JAGDISH SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125061666

License Status

EXPIRED

Business

Title

First Name

NISHIT

Middle

JAGDISH

Last Name

SHAH

Business Name

NISHIT JAGDISH SHAH MD

Original Issue Date

06/24/2012

Effective Date

06/24/2012

Expiration Date

06/23/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/04/2015