MANISHA JAY SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

Title

First Name

MANISHA

Middle

JAY

Last Name

SHAH

Business Name

MANISHA JAY SHAH MD

Original Issue Date

02/15/2024

Effective Date

02/15/2024

Expiration Date

07/31/2026

City

PRINCETON

State

Zip

61356

County

BUREAU

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/15/2024