JYOTI ASHWIN SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

INACTIVE

Business

First Name

JYOTI ASHWIN

Last Name

SHAH

Suffix

Business Name

JYOTI ASHWIN SHAH MD

Original Issue Date

01/01/1997

Effective Date

06/30/2014

Expiration Date

07/31/2017

City

SOUTH BARRINGTON

State

Zip

60010

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2017