SAPNA SANJAY SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

NOT RENEWED

Business

Title

First Name

SAPNA

Middle

SANJAY

Last Name

SHAH

Business Name

SAPNA SANJAY SHAH MD

Original Issue Date

08/14/2014

Effective Date

09/14/2020

Expiration Date

07/31/2023

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023