UPENDRA C 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

UPENDRA C

Last Name

SHAH

Suffix

Business Name

UPENDRA C SHAH MD

Original Issue Date

01/01/1997

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60638

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020