SIDDHARTH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163615

License Status

ACTIVE

Business

Title

First Name

SIDDHARTH

Last Name

SHAH

Business Name

SIDDHARTH SHAH MD

Original Issue Date

02/08/2023

Effective Date

06/10/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

06/10/2023