SHIVANI PANKAJ SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120677

License Status

ACTIVE

Business

First Name

SHIVANI

Middle

PANKAJ

Last Name

SHAH

Suffix

Business Name

SHIVANI PANKAJ SHAH MD

Original Issue Date

04/22/2008

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

07/13/2023