ROHIT PRAFUL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066208

License Status

CANCELLED

Business

Title

First Name

ROHIT

Middle

PRAFUL

Last Name

SHAH

Business Name

ROHIT PRAFUL SHAH MD

Original Issue Date

06/26/2015

Effective Date

06/26/2015

Expiration Date

06/25/2018

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/22/2015