BHAVESH A SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

BHAVESH

Middle

Last Name

SHAH

Business Name

BHAVESH A SHAH

Original Issue Date

05/26/2000

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021