AYUSH N SHAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072720

License Status

CANCELLED

Business

Title

First Name

AYUSH

Middle

Last Name

SHAH

Business Name

AYUSH N SHAH DO

Original Issue Date

06/24/2018

Effective Date

06/24/2018

Expiration Date

06/23/2021

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/25/2018