SAMAR PRAKASH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158863

License Status

ACTIVE

Business

Title

First Name

SAMAR

Middle

PRAKASH

Last Name

SHAH

Business Name

SAMAR PRAKASH SHAH MD

Original Issue Date

11/24/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

04/06/2023