SAMAR PRAKASH SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072964

License Status

CANCELLED

Business

Title

First Name

SAMAR

Middle

PRAKASH

Last Name

SHAH

Business Name

SAMAR PRAKASH SHAH MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/19/2021