ATUL SHARAD SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

First Name

ATUL SHARAD

Last Name

SHAH

Suffix

Business Name

ATUL SHARAD SHAH MD

Original Issue Date

06/12/1992

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023