MAHASUKH H SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

MAHASUKH

Middle

Last Name

SHAH

Suffix

Business Name

MAHASUKH H SHAH MD

Original Issue Date

07/17/1981

Effective Date

07/17/1981

Expiration Date

07/31/2005

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017