JAYESH S SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

CANCELLED

Business

First Name

JAYESH S

Last Name

SHAH

Suffix

Business Name

JAYESH S SHAH MD

Original Issue Date

06/08/1989

Effective Date

06/08/1989

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006