HIRALI SHAH DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077782

License Status

CANCELLED

Business

Title

First Name

HIRALI

Last Name

SHAH

Business Name

HIRALI SHAH DO

Original Issue Date

06/25/2021

Effective Date

06/25/2021

Expiration Date

06/24/2024

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2021