AMI B SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

AMI

Middle

Last Name

SHAH

Business Name

AMI B SHAH DO

Original Issue Date

05/17/2024

Effective Date

05/17/2024

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2024