RAVI DIPAK SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121144

License Status

ACTIVE

Business

First Name

RAVI

Middle

DIPAK

Last Name

SHAH

Suffix

Business Name

RAVI DIPAK SHAH MD

Original Issue Date

06/11/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

04/06/2023