NAMRATA M SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

NAMRATA

Middle

Last Name

SHAH

Business Name

NAMRATA M SHAH MD

Original Issue Date

04/17/2012

Effective Date

04/17/2012

Expiration Date

07/31/2014

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/17/2014