SHEFALI K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

SHEFALI

Middle

Last Name

SHAH

Business Name

SHEFALI K SHAH MD

Original Issue Date

05/19/2005

Effective Date

05/19/2005

Expiration Date

07/31/2008

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020