CHINTALBEN DILIPBHAI SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

NOT RENEWED

Business

First Name

CHINTALBEN

Middle

DILIPBHAI

Last Name

SHAH

Business Name

CHINTALBEN DILIPBHAI SHAH

Original Issue Date

10/31/2011

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

SCHAUMBURG

State

Zip

60194

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017