RAJENDRA RAMNIKL SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

First Name

RAJENDRA RAMNIKL

Last Name

SHAH

Suffix

Business Name

RAJENDRA RAMNIKL SHAH MD

Original Issue Date

01/01/1997

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023