ASHWIN M SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

NOT RENEWED

Business

First Name

ASHWIN M

Last Name

SHAH

Suffix

Business Name

ASHWIN M SHAH MD

Original Issue Date

01/01/1997

Effective Date

06/03/2014

Expiration Date

07/31/2017

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017