PRATIK PRAVIN SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036123414

License Status

ACTIVE

Business

First Name

PRATIK

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

PRATIK PRAVIN SHAH MD

Original Issue Date

05/13/2009

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

07/14/2024