ANIL R SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

ANIL

Middle

Last Name

SHAH

Suffix

Business Name

ANIL R SHAH MD

Original Issue Date

04/03/2008

Effective Date

04/03/2008

Expiration Date

07/31/2011

City

FRANKFORT

State

Zip

60423

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020