PRABODH C SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042091

License Status

ACTIVE

Business

First Name

PRABODH C

Last Name

SHAH

Suffix

Business Name

PRABODH C SHAH MD

Original Issue Date

08/01/1968

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023