RIAZ HUSSAIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

Title

First Name

RIAZ HUSSAIN

Last Name

SHAH

Business Name

RIAZ HUSSAIN SHAH MD

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

07/31/2008

City

MORTON

State

Zip

61550

County

TAZEWELL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020