DILIP KANTILAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****24

License Status

NOT RENEWED

Business

First Name

DILIP KANTILAL

Last Name

SHAH

Suffix

Business Name

DILIP KANTILAL SHAH MD

Original Issue Date

06/22/1990

Effective Date

06/22/1990

Expiration Date

07/31/1993

City

LINDENHURST

State

Zip

60046

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020