SANAM M SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069654

License Status

CANCELLED

Business

Title

First Name

SANAM

Middle

Last Name

SHAH

Business Name

SANAM M SHAH MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/03/2016