PRERAK RAJESHKUMAR SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

ACTIVE

Business

Title

First Name

PRERAK

Middle

RAJESHKUMAR

Last Name

SHAH

Business Name

PRERAK RAJESHKUMAR SHAH MD

Original Issue Date

08/19/2014

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60605

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023