NIKITA R. SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****08

License Status

ACTIVE

Business

Title

First Name

NIKITA

Middle

Last Name

SHAH

Business Name

NIKITA R. SHAH MD

Original Issue Date

08/22/2022

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/09/2023