SAGAR JAGDISH SHAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

SAGAR

Middle

JAGDISH

Last Name

SHAH

Business Name

SAGAR JAGDISH SHAH

Original Issue Date

06/17/2019

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

AURORA

State

Zip

60504

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/14/2023