BHAVIN CHANDRAKANT SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

ACTIVE

Business

Title

First Name

BHAVIN

Middle

CHANDRAKANT

Last Name

SHAH

Business Name

BHAVIN CHANDRAKANT SHAH MD

Original Issue Date

07/30/2015

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60435

County

WILL

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023