PRAVIN S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

NOT RENEWED

Business

First Name

PRAVIN S

Last Name

SHAH

Suffix

Business Name

PRAVIN S SHAH MD

Original Issue Date

01/01/1997

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

DES PLAINES

State

Zip

60016

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021