VIPIN K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

VIPIN K

Last Name

SHAH

Suffix

Business Name

VIPIN K SHAH MD

Original Issue Date

11/09/1987

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020