NINAD HASMUKH SHAH 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

NINAD

Middle

HASMUKH

Last Name

SHAH

Business Name

NINAD HASMUKH SHAH

Original Issue Date

02/28/2008

Effective Date

04/14/2011

Expiration Date

07/31/2014

City

WAYNE

State

Zip

60184

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014