SHIVANI SHAILESH SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070167

License Status

EXPIRED

Business

Title

First Name

SHIVANI

Middle

SHAILESH

Last Name

SHAH

Business Name

SHIVANI SHAILESH SHAH MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

08/09/2021

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022