SAMIR 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

SAMIR C

Last Name

SHAH

Suffix

Business Name

SAMIR C SHAH MD

Original Issue Date

10/22/1986

Effective Date

10/22/1986

Expiration Date

07/31/1990

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006