HASIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053206

License Status

NOT RENEWED

Business

First Name

HASIN

Last Name

SHAH

Suffix

Business Name

HASIN SHAH MD

Original Issue Date

08/19/1976

Effective Date

07/25/2011

Expiration Date

07/31/2014

City

ST ELMO

State

Zip

62458

County

FAYETTE

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2012000787

Action

Suspension

Discipline Start Date

07/21/2014

Discipline Reason

for inappropriate prescribing of Controlled Substances that led to surrender of DEA Registration.