MALATHI SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

ACTIVE

Business

First Name

MALATHI

Last Name

SHAH

Suffix

Business Name

MALATHI SHAH MD

Original Issue Date

10/15/2003

Effective Date

05/10/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60649

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/10/2023