AMI SHAH BEHARA Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

ACTIVE

Business

First Name

AMI

Middle

SHAH

Last Name

BEHARA

Business Name

AMI SHAH BEHARA

Original Issue Date

04/05/2006

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

MT PROSPECT

State

Zip

60056

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023