DHIREN A SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

DHIREN

Middle

Last Name

SHAH

Suffix

Business Name

DHIREN A SHAH MD

Original Issue Date

10/13/1998

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023