ADITYA SANJIV SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064916

License Status

EXPIRED

Business

Title

First Name

ADITYA

Middle

SANJIV

Last Name

SHAH

Business Name

ADITYA SANJIV SHAH MD

Original Issue Date

06/24/2014

Effective Date

06/24/2014

Expiration Date

06/23/2017

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/19/2017