AJIT N SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

AJIT N

Last Name

SHAH

Suffix

Business Name

AJIT N SHAH MD

Original Issue Date

10/01/1984

Effective Date

10/01/1984

Expiration Date

07/31/1987

City

FOREST PARK

State

Zip

60130

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006