HEMANT H 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

Title

First Name

HEMANT

Middle

Last Name

SHAH

Business Name

HEMANT H SHAH MD

Original Issue Date

06/30/2015

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

WOODRIDGE

State

Zip

60517

County

PENNSYLVANIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023