Gautam Krishnaka Shah Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036057748

Status

Expired (Not Renewed)

First issued

August 21, 1978

License holder

Gautam Krishnaka Shah Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

08/21/1978

Other Illinois licenses under this name

• IL
  Gautam Krishnaka Shah Md

  License 33*****24

  Licensed Physician Controlled Substance (Medical Board)
  Inactive

  Munster, IN

  Expired Sep 1, 1982

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