DIPAK T 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

DIPAK T

Last Name

SHAH

Suffix

Business Name

DIPAK T SHAH MD

Original Issue Date

09/19/1988

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020