DAVE B SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164417

License Status

ACTIVE

Business

Title

First Name

DAVE

Middle

Last Name

SHAH

Prefix

Business Name

DAVE B SHAH DO

Original Issue Date

04/17/2023

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

04/13/2023