RIDDHI RUPESH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

ACTIVE

Business

Title

First Name

RIDDHI

Middle

RUPESH

Last Name

SHAH

Business Name

RIDDHI RUPESH SHAH MD

Original Issue Date

08/12/2015

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60617

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023