PRANJAL HEMANTBHAI SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

First Name

PRANJAL

Middle

HEMANTBHAI

Last Name

SHAH

Suffix

Business Name

PRANJAL HEMANTBHAI SHAH MD

Original Issue Date

07/17/2007

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023