NIKET K SHAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069293

License Status

CANCELLED

Business

Title

First Name

NIKET

Middle

Last Name

SHAH

Business Name

NIKET K SHAH DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2018

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Critical Care Medicine

Ever Disciplined

LastModifiedDate

06/09/2016