PAVITRA KOTINI SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134809

License Status

ACTIVE

Business

Title

First Name

PAVITRA

Middle

KOTINI

Last Name

SHAH

Business Name

PAVITRA KOTINI SHAH MD

Original Issue Date

03/14/2014

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

07/25/2023