DHRULATA R SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

DHRULATA R

Last Name

SHAH

Suffix

Business Name

DHRULATA R SHAH MD

Original Issue Date

05/04/1995

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

HUNTLEY

State

Zip

60142

County

MCHENRY

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023