UPENDRA C 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

UPENDRA C

Last Name

SHAH

Suffix

Business Name

UPENDRA C SHAH MD

Original Issue Date

07/02/1993

Effective Date

04/20/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021