ASHOKKUMAR K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****19

License Status

NOT RENEWED

Business

First Name

ASHOKKUMAR K

Last Name

SHAH

Suffix

Business Name

ASHOKKUMAR K SHAH MD

Original Issue Date

06/04/1991

Effective Date

06/04/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60634

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020