MAHENDRAKUMAR C 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

MAHENDRAKUMAR C

Last Name

SHAH

Suffix

Business Name

MAHENDRAKUMAR C SHAH MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

HINES

State

Zip

60141

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006