AMIT CHANDRAKANT SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

CANCELLED

Business

First Name

AMIT

Middle

CHANDRAKANT

Last Name

SHAH

Suffix

Business Name

AMIT CHANDRAKANT SHAH MD

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

07/31/2005

City

CAULMET PARK

State

Zip

60827

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006