NEILESH KUMAR SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

ACTIVE

Business

First Name

NEILESH

Middle

KUMAR

Last Name

SHAH

Suffix

Business Name

NEILESH KUMAR SHAH MD

Original Issue Date

05/23/2005

Effective Date

04/23/2023

Expiration Date

07/31/2026

City

ORLAND PARK

State

Zip

60467

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/23/2023