DILIP MOHANLAL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

CANCELLED

Business

First Name

DILIP MOHANLAL

Last Name

SHAH

Suffix

Business Name

DILIP MOHANLAL SHAH MD

Original Issue Date

07/15/1985

Effective Date

07/15/1985

Expiration Date

07/31/1990

City

SUMMIT

State

Zip

60501

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020