ANIL BABUBHAI SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****72

License Status

NOT RENEWED

Business

First Name

ANIL BABUBHAI

Last Name

SHAH

Suffix

Business Name

ANIL BABUBHAI SHAH MD

Original Issue Date

01/01/1997

Effective Date

09/20/2011

Expiration Date

07/31/2014

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017