MIHIR PRAKASH SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077626

License Status

CANCELLED

Business

Title

First Name

MIHIR

Middle

PRAKASH

Last Name

SHAH

Business Name

MIHIR PRAKASH SHAH MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/27/2021