KAISER JAMAL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065500

License Status

CANCELLED

Business

Title

First Name

KAISER

Middle

JAMAL

Last Name

SHAH

Business Name

KAISER JAMAL SHAH MD

Original Issue Date

08/30/2017

Effective Date

08/30/2017

Expiration Date

06/30/2018

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

08/30/2017