ADITI MAYANK SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

First Name

ADITI

Middle

MAYANK

Last Name

SHAH

Suffix

Business Name

ADITI MAYANK SHAH MD

Original Issue Date

01/14/2010

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

ADDISON

State

Zip

60101

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023