PALAK SHAH DHOLAKIA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

PALAK

Middle

SHAH

Last Name

DHOLAKIA

Business Name

PALAK SHAH DHOLAKIA MD

Original Issue Date

12/13/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023