CHIRAGI MITUL SHAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

First Name

CHIRAGI

Middle

MITUL

Last Name

SHAH

Business Name

CHIRAGI MITUL SHAH

Original Issue Date

08/13/2008

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023