SAILESH N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

SAILESH N

Last Name

SHAH

Suffix

Business Name

SAILESH N SHAH MD

Original Issue Date

01/11/1988

Effective Date

01/11/1988

Expiration Date

07/31/1999

City

LOMBARD

State

Zip

60148

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006