NISHANT SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****67

License Status

INACTIVE

Business

Title

First Name

NISHANT

Last Name

SHAH

Business Name

NISHANT SHAH MD

Original Issue Date

10/31/2017

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

MORTON GROVE

State

Zip

60053

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/09/2023