SHRUTI SHRIKANT SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

SHRUTI

Middle

SHRIKANT

Last Name

SHAH

Suffix

Business Name

SHRUTI SHRIKANT SHAH MD

Original Issue Date

01/21/2009

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023