JAY VIPUL 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

JAY

Middle

VIPUL

Last Name

SHAH

Suffix

Business Name

JAY VIPUL SHAH MD

Original Issue Date

07/17/2013

Effective Date

07/17/2013

Expiration Date

07/31/2014

City

GLENVIEW

State

Zip

60025

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014