PARAJ N SHAH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005003

License Status

NOT RENEWED

Business

First Name

PARAJ

Middle

Last Name

SHAH

Business Name

PARAJ N SHAH

Original Issue Date

03/18/2014

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

11/24/2020