SHOBHA JAGDISH 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

SHOBHA JAGDISH

Last Name

SHAH

Suffix

Business Name

SHOBHA JAGDISH SHAH MD

Original Issue Date

01/01/1997

Effective Date

04/19/2017

Expiration Date

09/30/2020

City

OAK BROOK

State

Zip

60523

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021