KULSOOM SHAH Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

CANCELLED

Business

First Name

KULSOOM

Last Name

SHAH

Business Name

KULSOOM SHAH

Original Issue Date

08/16/1994

Effective Date

08/16/1994

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006