MINTI VIJAY SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160929

License Status

ACTIVE

Business

Title

First Name

MINTI

Middle

VIJAY

Last Name

SHAH

Business Name

MINTI VIJAY SHAH DO

Original Issue Date

06/17/2022

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023