HASMUKH PUNAMCHA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

HASMUKH PUNAMCHA

Last Name

SHAH

Suffix

Business Name

HASMUKH PUNAMCHA SHAH MD

Original Issue Date

08/02/1990

Effective Date

08/02/1990

Expiration Date

07/31/1996

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020