JEANINE CAROLINE 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

First Name

JEANINE

Middle

CAROLINE

Last Name

SHAH

Suffix

Business Name

JEANINE CAROLINE SHAH MD

Original Issue Date

07/25/2013

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023