PAYAL KIRTIKANT SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

PAYAL

Middle

KIRTIKANT

Last Name

SHAH

Business Name

PAYAL KIRTIKANT SHAH MD

Original Issue Date

10/16/2012

Effective Date

10/16/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60657

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017