ANAND ANILKUMAR SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

Title

First Name

ANAND

Middle

ANILKUMAR

Last Name

SHAH

Business Name

ANAND ANILKUMAR SHAH MD

Original Issue Date

07/30/2014

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60607

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021