MAULIN GHANSHYAM SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****98

License Status

ACTIVE

Business

Title

First Name

MAULIN

Middle

GHANSHYAM

Last Name

SHAH

Business Name

MAULIN GHANSHYAM SHAH DO

Original Issue Date

08/03/2016

Effective Date

04/13/2023

Expiration Date

07/31/2026

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/13/2023