BHARAT KANTILAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

BHARAT KANTILAL

Last Name

SHAH

Suffix

Business Name

BHARAT KANTILAL SHAH MD

Original Issue Date

06/12/2006

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020