JAY BHAGAVATI SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166794

License Status

ACTIVE

Business

Title

First Name

JAY

Middle

BHAGAVATI

Last Name

SHAH

Prefix

Business Name

JAY BHAGAVATI SHAH DO

Original Issue Date

08/29/2023

Effective Date

08/29/2023

Expiration Date

07/31/2026

City

ROSELLE

State

Zip

60172

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/15/2023