CHIRAG DEVENDRA SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064077

License Status

EXPIRED

Business

Title

First Name

CHIRAG

Middle

DEVENDRA

Last Name

SHAH

Business Name

CHIRAG DEVENDRA SHAH MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Physical Medicine and Rehabilitation

Ever Disciplined

LastModifiedDate

09/19/2017