NIRANJAN CHAMPAK SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060894

License Status

ACTIVE

Business

First Name

NIRANJAN CHAMPAK

Last Name

SHAH

Suffix

Business Name

NIRANJAN CHAMPAK SHAH MD

Original Issue Date

09/11/1980

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/16/2023