SUBHASHCHANDRA KANTILAL SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

SUBHASHCHANDRA

Last Name

KANTILAL SHAH

Suffix

Business Name

SUBHASHCHANDRA KANTILAL SHAH MD

Original Issue Date

07/13/1983

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

BURR RIDGE

State

Zip

60525

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023