NAYNA VISHAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

Title

First Name

NAYNA

Middle

VISHAL

Last Name

SHAH

Business Name

NAYNA VISHAL SHAH MD

Original Issue Date

11/16/2011

Effective Date

11/16/2011

Expiration Date

07/31/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014