NISHA SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****37

License Status

ACTIVE

Business

Title

First Name

NISHA

Last Name

SHAH

Business Name

NISHA SHAH MD

Original Issue Date

06/05/2019

Effective Date

04/24/2023

Expiration Date

07/31/2026

City

WINDFIELD

State

Zip

60190

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/24/2023