NAVIN P 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

NAVIN P

Last Name

SHAH

Suffix

Business Name

NAVIN P SHAH MD

Original Issue Date

03/05/1984

Effective Date

03/05/1984

Expiration Date

07/31/1990

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006