SHILPA SHAUNAK DAVE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

SHILPA

Middle

SHAUNAK

Last Name

DAVE

Suffix

Business Name

SHILPA SHAUNAK DAVE DO

Original Issue Date

06/12/2000

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60506

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023