NIKI SHAH DO 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

NIKI

Last Name

SHAH

Business Name

NIKI SHAH DO

Original Issue Date

03/16/2024

Effective Date

03/16/2024

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/18/2024