DIPIKA JAYESH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

DIPIKA

Middle

JAYESH

Last Name

SHAH

Suffix

Business Name

DIPIKA JAYESH SHAH MD

Original Issue Date

09/24/2001

Effective Date

09/24/2001

Expiration Date

07/31/2002

City

WESTMONT

State

Zip

60559

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006