SHRIRAJ C 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

SHRIRAJ C

Last Name

SHAH

Suffix

Business Name

SHRIRAJ C SHAH MD

Original Issue Date

08/01/1988

Effective Date

08/01/1988

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006