HARGOVIND C SHAH MD 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

HARGOVIND C

Last Name

SHAH

Suffix

Business Name

HARGOVIND C SHAH MD

Original Issue Date

01/26/1987

Effective Date

01/26/1987

Expiration Date

07/31/1993

City

MORRISON

State

Zip

61270

County

WHITESIDE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/07/2011