MADHVI HEMANT SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069571

License Status

EXPIRED

Business

Title

First Name

MADHVI

Middle

HEMANT

Last Name

SHAH

Business Name

MADHVI HEMANT SHAH MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/02/2019