VIPIN K 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

VIPIN K

Last Name

SHAH

Suffix

Business Name

VIPIN K SHAH MD

Original Issue Date

09/21/1990

Effective Date

12/06/2013

Expiration Date

07/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020