RAJIV RASIK 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

RAJIV

Middle

RASIK

Last Name

SHAH

Suffix

Business Name

RAJIV RASIK SHAH MD

Original Issue Date

02/20/2002

Effective Date

02/20/2002

Expiration Date

07/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006