HARISH AMBALAL 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

HARISH AMBALAL

Last Name

SHAH

Suffix

Business Name

HARISH AMBALAL SHAH MD

Original Issue Date

08/26/1983

Effective Date

08/26/1983

Expiration Date

07/31/1987

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006