USHMA BHARAT SHAH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****76

NOT RENEWED

N

DO

USHMA

BHARAT

SHAH

USHMA BHARAT SHAH DO

05/25/2017

07/27/2020

07/31/2023

NILES

IL

60714

COOK

PRACTITIONER

II III IV V

N

11/30/2023