RIAZ HUSSAIN 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

Title

First Name

RIAZ HUSSAIN

Last Name

SHAH

Business Name

RIAZ HUSSAIN SHAH MD

Original Issue Date

11/18/2002

Effective Date

04/28/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61636

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/28/2023