BIREN PRAVIN SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

ACTIVE

Business

First Name

BIREN

Middle

PRAVIN

Last Name

SHAH

Suffix

Business Name

BIREN PRAVIN SHAH MD

Original Issue Date

11/27/2002

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

HOMEWOOD

State

Zip

60430

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023