DARSHAN N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

First Name

DARSHAN

Middle

Last Name

SHAH

Suffix

Business Name

DARSHAN N SHAH MD

Original Issue Date

03/03/2005

Effective Date

08/11/2011

Expiration Date

07/31/2014

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014