SUBIR BIPIN SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

Title

First Name

SUBIR

Middle

BIPIN

Last Name

SHAH

Business Name

SUBIR BIPIN SHAH DO

Original Issue Date

06/22/2016

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2023