MANTHAN RAJESH 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

MANTHAN

Middle

RAJESH

Last Name

SHAH

Suffix

Business Name

MANTHAN RAJESH SHAH MD

Original Issue Date

03/23/2016

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023