RAJ DILIPKUMAR 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

Title

First Name

RAJ

Middle

DILIPKUMAR

Last Name

SHAH

Business Name

RAJ DILIPKUMAR SHAH MD

Original Issue Date

08/12/2011

Effective Date

07/15/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/15/2023