SHRUTI SHRIKANT SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121506

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

SHRIKANT

Last Name

SHAH

Suffix

Business Name

SHRUTI SHRIKANT SHAH MD

Original Issue Date

07/17/2008

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

04/06/2023