DHAVAN NILESH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

DHAVAN

Middle

NILESH

Last Name

SHAH

Business Name

DHAVAN NILESH SHAH MD

Original Issue Date

10/11/2023

Effective Date

10/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60622

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/11/2023