RAJU KIRTIKUMAR SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

Title

First Name

RAJU

Middle

KIRTIKUMAR

Last Name

SHAH

Business Name

RAJU KIRTIKUMAR SHAH MD

Original Issue Date

06/09/2017

Effective Date

04/15/2023

Expiration Date

07/31/2026

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/15/2023