SHALIN SURESH 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

SHALIN

Middle

SURESH

Last Name

SHAH

Business Name

SHALIN SURESH SHAH MD

Original Issue Date

09/07/2017

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/23/2023