RUSHABH SHAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072112

License Status

CANCELLED

Business

Title

First Name

RUSHABH

Last Name

SHAH

Business Name

RUSHABH SHAH DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Specialty/Qualifier

Family Medicine and OMT

Ever Disciplined

LastModifiedDate

05/16/2018