KUSHAL SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

KUSHAL

Last Name

SHAH

Business Name

KUSHAL SHAH MD

Original Issue Date

03/26/2020

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023