DIPTI B SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

DIPTI B

Last Name

SHAH

Suffix

Business Name

DIPTI B SHAH MD

Original Issue Date

08/12/1982

Effective Date

08/12/1982

Expiration Date

07/31/1987

City

OAK LAWN

State

Zip

60454

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006