PRATIK PRAVIN SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

ACTIVE

Business

First Name

PRATIK

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

PRATIK PRAVIN SHAH MD

Original Issue Date

06/16/2009

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/25/2023