HAROON MATIN SHAH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001171

License Status

NOT RENEWED

Business

Title

First Name

HAROON

Middle

MATIN

Last Name

SHAH

Business Name

HAROON MATIN SHAH DO

Original Issue Date

07/07/2017

Effective Date

07/07/2017

Expiration Date

08/06/2017

City

LOMBARD

State

Zip

60148

County

DUPAGE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/19/2018