VISHALI CHAND SHAH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

VISHALI

Middle

CHAND

Last Name

SHAH

Business Name

VISHALI CHAND SHAH

Original Issue Date

11/02/2011

Effective Date

09/22/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2018