YATIN M SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

First Name

YATIN M

Last Name

SHAH

Suffix

Business Name

YATIN M SHAH MD

Original Issue Date

02/02/1984

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

JOLIET

State

Zip

60436

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023