ARCHANA ANIL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066630

License Status

CANCELLED

Business

Title

First Name

ARCHANA

Middle

ANIL

Last Name

SHAH

Business Name

ARCHANA ANIL SHAH MD

Original Issue Date

06/24/2015

Effective Date

06/24/2015

Expiration Date

06/23/2018

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/19/2015