KAMLESH BABULAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

KAMLESH BABULAL

Last Name

SHAH

Suffix

Business Name

KAMLESH BABULAL SHAH MD

Original Issue Date

07/26/1990

Effective Date

07/26/1990

Expiration Date

07/31/2002

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020