MAHAVIR N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

NOT RENEWED

Business

First Name

MAHAVIR N

Last Name

SHAH

Suffix

Business Name

MAHAVIR N SHAH MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

CANTON

State

Zip

61520

County

FULTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006