HARSH MUKESH SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063758

License Status

CANCELLED

Business

First Name

HARSH

Middle

MUKESH

Last Name

SHAH

Suffix

Business Name

HARSH MUKESH SHAH MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/02/2016