ASHVIN N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

Title

First Name

ASHVIN

Middle

Last Name

SHAH

Business Name

ASHVIN N SHAH MD

Original Issue Date

03/12/2002

Effective Date

05/31/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2011006986

Action

Revocation

Discipline Start Date

04/24/2012

Discipline Reason

due to conviction of a criminal battery against a patient in the course of patient care or treatment.