NIRANJAN CHAMPAK SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

NIRANJAN CHAMPAK

Last Name

SHAH

Suffix

Business Name

NIRANJAN CHAMPAK SHAH MD

Original Issue Date

01/01/1997

Effective Date

05/16/2023

Expiration Date

07/31/2026

City

HAZEL CREST

State

Zip

60429

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/16/2023