TINA SHASHIKANT SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063404

License Status

EXPIRED

Business

Title

First Name

TINA

Middle

SHASHIKANT

Last Name

SHAH

Business Name

TINA SHASHIKANT SHAH MD

Original Issue Date

06/23/2016

Effective Date

06/23/2016

Expiration Date

06/22/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/19/2017