AMY DEVI SHAH DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

ACTIVE

Business

Title

First Name

AMY

Middle

DEVI

Last Name

SHAH

Business Name

AMY DEVI SHAH DO

Original Issue Date

12/17/2015

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

DALLAS

State

Zip

75231

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023