MAYANK SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

MAYANK

Last Name

SHAH

Business Name

MAYANK SHAH MD

Original Issue Date

05/16/2002

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

KILDEER

State

Zip

60047

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023