MIHIR SANJAY SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

ACTIVE

Business

Title

First Name

MIHIR

Middle

SANJAY

Last Name

SHAH

Business Name

MIHIR SANJAY SHAH MD

Original Issue Date

11/15/2013

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023