RAKESH J SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117138

License Status

ACTIVE

Business

First Name

RAKESH

Middle

Last Name

SHAH

Suffix

Business Name

RAKESH J SHAH MD

Original Issue Date

11/03/2006

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/09/2023