NIRANJANA D SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

ACTIVE

Business

First Name

NIRANJANA

Middle

Last Name

SHAH

Suffix

Business Name

NIRANJANA D SHAH MD

Original Issue Date

05/31/1989

Effective Date

07/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60656

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/09/2023