KAVITA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

KAVITA

Last Name

SHAH

Suffix

Business Name

KAVITA SHAH MD

Original Issue Date

07/22/2005

Effective Date

07/22/2005

Expiration Date

07/31/2008

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020