NIRMALA A SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

NIRMALA A

Last Name

SHAH

Suffix

Business Name

NIRMALA A SHAH MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020