ANAND PRAVIN SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

ANAND

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

ANAND PRAVIN SHAH MD

Original Issue Date

07/18/2008

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

06/16/2023