VIPIN K SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

First Name

VIPIN K

Last Name

SHAH

Suffix

Business Name

VIPIN K SHAH MD

Original Issue Date

01/01/1997

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

VANDALIA

State

Zip

62471

County

FAYETTE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023