SHIVANI SHAILESH 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

SHIVANI

Middle

SHAILESH

Last Name

SHAH

Business Name

SHIVANI SHAILESH SHAH MD

Original Issue Date

02/27/2025

Effective Date

02/27/2025

Expiration Date

07/31/2026

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/27/2025