PARVISH PRADIP SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138384

License Status

ACTIVE

Business

Title

First Name

PARVISH

Middle

PRADIP

Last Name

SHAH

Business Name

PARVISH PRADIP SHAH DO

Original Issue Date

06/19/2015

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

Ever Disciplined

LastModifiedDate

06/09/2023