NISHITH ASHOK SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

ACTIVE

Business

Title

First Name

NISHITH

Middle

ASHOK

Last Name

SHAH

Business Name

NISHITH ASHOK SHAH MD

Original Issue Date

08/07/2019

Effective Date

05/08/2023

Expiration Date

07/31/2026

City

WEST CHICAGO

State

Zip

60185

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/08/2023