SUMMIT S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

SUMMIT

Middle

Last Name

SHAH

Suffix

Business Name

SUMMIT S SHAH MD

Original Issue Date

06/09/2010

Effective Date

06/09/2010

Expiration Date

07/31/2011

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011