SHIVANI PANKAJ SHAH MD 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

SHIVANI

Middle

PANKAJ

Last Name

SHAH

Suffix

Business Name

SHIVANI PANKAJ SHAH MD

Original Issue Date

09/16/2011

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/13/2023