RAJ SUBHASH 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

Title

First Name

RAJ

Middle

SUBHASH

Last Name

SHAH

Business Name

RAJ SUBHASH SHAH MD

Original Issue Date

09/18/2018

Effective Date

09/18/2018

Expiration Date

09/30/2020

City

BURR RIDGE

State

Zip

60527

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021