MONICA JAILWALA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

MONICA

Middle

JAILWALA

Last Name

SHAH

Business Name

MONICA JAILWALA SHAH MD

Original Issue Date

02/25/2014

Effective Date

02/25/2014

Expiration Date

07/31/2014

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017