SHIVAM VIPUL AMIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073564

License Status

EXPIRED

Business

Title

First Name

SHIVAM

Middle

VIPUL

Last Name

AMIN

Business Name

SHIVAM VIPUL AMIN MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/06/2024