PRADIP K SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

ACTIVE

Business

First Name

PRADIP K

Last Name

SHAH

Suffix

Business Name

PRADIP K SHAH MD

Original Issue Date

01/01/1997

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

ELGIN

State

Zip

60124

County

IROQUOIS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023