CHANDRAKANT PRANLAL SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

CANCELLED

Business

First Name

CHANDRAKANT

Middle

PRANLAL

Last Name

SHAH

Suffix

Business Name

CHANDRAKANT PRANLAL SHAH MD

Original Issue Date

10/29/1998

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

SCHAUMBURG

State

Zip

60173

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011