UMA DILIP SHAH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****53

NOT RENEWED

N

UMA

DILIP

SHAH

MD

UMA DILIP SHAH MD

01/28/1998

01/28/1998

07/31/1999

GURNEE

IL

60031

LAKE

PRACTITIONER

II III IV V

N

04/05/2020