SONAL NAVIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

SONAL

Middle

NAVIN

Last Name

SHAH

Suffix

Business Name

SONAL NAVIN SHAH MD

Original Issue Date

05/18/2004

Effective Date

05/18/2004

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006