SAMAR PRAKASH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

SAMAR

Middle

PRAKASH

Last Name

SHAH

Business Name

SAMAR PRAKASH SHAH MD

Original Issue Date

11/24/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023