ASHOKKUMAR V 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

First Name

ASHOKKUMAR V

Last Name

SHAH

Suffix

Business Name

ASHOKKUMAR V SHAH MD

Original Issue Date

09/17/1984

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017