VIPUJ AMIT 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

First Name

VIPUJ

Middle

AMIT

Last Name

SHAH

Suffix

Business Name

VIPUJ AMIT SHAH MD

Original Issue Date

12/01/2009

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

NAPERVILLE

State

Zip

60564

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023