PRABODH C SHAH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****51

NOT RENEWED

N

PRABODH C

SHAH

MD

PRABODH C SHAH MD

01/01/1997

05/20/2020

07/31/2023

CHICAGO

IL

60611

COOK

II III IV V

N

11/30/2023