RAVI 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

Title

First Name

RAVI

Last Name

SHAH

Business Name

RAVI SHAH MD

Original Issue Date

11/27/2024

Effective Date

11/27/2024

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/27/2024