SHELBY DAVID RIFKIN 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

Title

First Name

SHELBY

Middle

DAVID

Last Name

RIFKIN

Business Name

SHELBY DAVID RIFKIN MD

Original Issue Date

01/01/1997

Effective Date

08/09/2017

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60202

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021