BHARATI PRAVIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BHARATI PRAVIN

Last Name

SHAH

Suffix

Business Name

BHARATI PRAVIN SHAH MD

Original Issue Date

01/01/1997

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020