REHAN 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

REHAN

Last Name

SHAH

Business Name

REHAN SHAH MD

Original Issue Date

08/17/2020

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

OREGON

State

Zip

61061

County

OGLE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023