NEIL SAMIR SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

NEIL

Middle

SAMIR

Last Name

SHAH

Business Name

NEIL SAMIR SHAH MD

Original Issue Date

12/13/2022

Effective Date

05/18/2023

Expiration Date

07/31/2026

City

LENEXA

State

Zip

66215

County

JOHNSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/18/2023