SAMIR HARISHKUMAR SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105782

License Status

ACTIVE

Business

First Name

SAMIR

Middle

HARISHKUMAR

Last Name

SHAH

Suffix

Business Name

SAMIR HARISHKUMAR SHAH MD

Original Issue Date

10/26/2001

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

04/07/2023