PRACHI SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154401

License Status

ACTIVE

Business

Title

First Name

PRACHI

Last Name

SHAH

Business Name

PRACHI SHAH DO

Original Issue Date

09/29/2020

Effective Date

05/24/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

05/24/2023