SACHIN HARNISH SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

First Name

SACHIN

Middle

HARNISH

Last Name

SHAH

Suffix

Business Name

SACHIN HARNISH SHAH MD

Original Issue Date

09/21/2011

Effective Date

09/21/2011

Expiration Date

07/31/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014