MINESH PRADYUMAN SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

MINESH

Middle

PRADYUMAN

Last Name

SHAH

Business Name

MINESH PRADYUMAN SHAH

Original Issue Date

06/20/2011

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/01/2017