SHEFALI NAVIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

SHEFALI

Middle

NAVIN

Last Name

SHAH

Suffix

Business Name

SHEFALI NAVIN SHAH MD

Original Issue Date

09/07/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

BLUE ISLAND

State

Zip

60406

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011