HARDIK A 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

HARDIK

Middle

Last Name

SHAH

Suffix

Business Name

HARDIK A SHAH MD

Original Issue Date

12/16/2008

Effective Date

12/16/2008

Expiration Date

07/31/2011

City

MUNSTER

State

Zip

46321

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020