MANOJKUMAR R SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

ACTIVE

Business

First Name

MANOJKUMAR R

Last Name

SHAH

Suffix

Business Name

MANOJKUMAR R SHAH MD

Original Issue Date

04/21/1988

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023