SACHIN HARNISH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

SACHIN

Middle

HARNISH

Last Name

SHAH

Suffix

Business Name

SACHIN HARNISH SHAH MD

Original Issue Date

05/21/2010

Effective Date

05/21/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III

Ever Disciplined

LastModifiedDate

11/10/2011