RUPESH J SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

RUPESH J

Last Name

SHAH

Business Name

RUPESH J SHAH

Original Issue Date

09/07/1999

Effective Date

09/07/1999

Expiration Date

07/31/2002

City

DOLTON

State

Zip

60419

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006