SHIVANI SHAILESH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172373

License Status

ACTIVE

Business

Title

First Name

SHIVANI

Middle

SHAILESH

Last Name

SHAH

Business Name

SHIVANI SHAILESH SHAH MD

Original Issue Date

10/18/2024

Effective Date

10/18/2024

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/18/2024