HASIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

First Name

HASIN

Last Name

SHAH

Suffix

Business Name

HASIN SHAH MD

Original Issue Date

01/01/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2012000787

Action

Suspension

Discipline Start Date

07/21/2014

Discipline Reason

for inappropriate prescribing of Controlled Substances that led to surrender of DEA Registration.