MRUNAL VINODCHANDRA SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

MRUNAL

Middle

VINODCHANDRA

Last Name

SHAH

Business Name

MRUNAL VINODCHANDRA SHAH

Original Issue Date

02/04/2010

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017