SMITA SAURABH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

NOT RENEWED

Business

First Name

SMITA SAURABH

Last Name

SHAH

Suffix

Business Name

SMITA SAURABH SHAH MD

Original Issue Date

07/30/1993

Effective Date

07/30/1993

Expiration Date

07/31/1996

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017