HARGOVIND C SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

HARGOVIND C

Last Name

SHAH

Suffix

Business Name

HARGOVIND C SHAH MD

Original Issue Date

08/07/2003

Effective Date

08/07/2003

Expiration Date

07/31/2008

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2011