KAVITA 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

KAVITA

Last Name

SHAH

Suffix

Business Name

KAVITA SHAH MD

Original Issue Date

04/16/2007

Effective Date

04/15/2011

Expiration Date

07/31/2014

City

WEST CHICAGO

State

Zip

60185

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020