REENA R SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

First Name

REENA

Middle

Last Name

SHAH

Suffix

Business Name

REENA R SHAH DO

Original Issue Date

07/23/2002

Effective Date

06/23/2023

Expiration Date

07/31/2026

City

BATAVIA

State

Zip

60510

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/23/2023