AMIT GUNVANT SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

ACTIVE

Business

First Name

AMIT

Middle

GUNVANT

Last Name

SHAH

Suffix

Business Name

AMIT GUNVANT SHAH MD

Original Issue Date

01/21/1999

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

LAKE BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023