SHIVANI ASHISH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125082819

License Status

ACTIVE

Business

Title

First Name

SHIVANI

Middle

ASHISH

Last Name

SHAH

Business Name

SHIVANI ASHISH SHAH MD

Original Issue Date

06/23/2023

Effective Date

06/23/2023

Expiration Date

06/22/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Plastic Surgery - Integrated

Ever Disciplined

LastModifiedDate

04/11/2023