ASHVIN N 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

Title

First Name

ASHVIN

Middle

Last Name

SHAH

Business Name

ASHVIN N SHAH MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1996

City

FLOSSMOOR

State

Zip

60422

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2012

Case Number

2011006986

Action

Revocation

Discipline Start Date

04/24/2012

Discipline Reason

due to conviction of a criminal battery against a patient in the course of patient care or treatment.