GAURANG NAGINLAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

Title

First Name

GAURANG

Middle

NAGINLAL

Last Name

SHAH

Business Name

GAURANG NAGINLAL SHAH MD

Original Issue Date

04/29/2021

Effective Date

04/29/2021

Expiration Date

07/31/2023

City

ROCKFOD

State

Zip

61103

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023