VISHALI CHAND SHAH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004239

License Status

NOT RENEWED

Business

First Name

VISHALI

Middle

CHAND

Last Name

SHAH

Business Name

VISHALI CHAND SHAH

Original Issue Date

11/02/2011

Effective Date

02/29/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018