BIMAL D 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

BIMAL

Middle

Last Name

SHAH

Suffix

Business Name

BIMAL D SHAH MD

Original Issue Date

06/20/2008

Effective Date

07/24/2014

Expiration Date

07/31/2017

City

HARVEY

State

Zip

60426

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017