NEIL SAMIR SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067074

License Status

EXPIRED

Business

Title

First Name

NEIL

Middle

SAMIR

Last Name

SHAH

Business Name

NEIL SAMIR SHAH MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

10/02/2019