KSHAMA PANKAJ SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

KSHAMA

Middle

PANKAJ

Last Name

SHAH

Suffix

Business Name

KSHAMA PANKAJ SHAH MD

Original Issue Date

03/23/2016

Effective Date

05/13/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/13/2023