KUNVARJI GANGJI SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

KUNVARJI GANGJI

Last Name

SHAH

Suffix

Business Name

KUNVARJI GANGJI SHAH MD

Original Issue Date

01/01/1997

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017