VANDANA J SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

VANDANA J

Last Name

SHAH

Suffix

Business Name

VANDANA J SHAH MD

Original Issue Date

01/01/1997

Effective Date

05/12/2014

Expiration Date

07/31/2017

City

MCHENRY

State

Zip

60050

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020