SHAMIT SHAILENDRA DESAI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064320

License Status

CANCELLED

Business

Title

First Name

SHAMIT

Middle

SHAILENDRA

Last Name

DESAI

Business Name

SHAMIT SHAILENDRA DESAI MD

Original Issue Date

07/01/2014

Effective Date

07/01/2014

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

03/24/2014