MANZOOR HUSSAIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

NOT RENEWED

Business

First Name

MANZOOR

Middle

HUSSAIN

Last Name

SHAH

Suffix

Business Name

MANZOOR HUSSAIN SHAH MD

Original Issue Date

07/30/1990

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

CALUMET CITY

State

Zip

60409

County

COOK

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

01/14/2021