ADIT SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

NOT RENEWED

Business

Title

First Name

ADIT

Last Name

SHAH

Business Name

ADIT SHAH MD

Original Issue Date

07/29/2020

Effective Date

07/29/2020

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63101

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023