PRAYAG D SHAH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****09

License Status

ACTIVE

Business

First Name

PRAYAG

Middle

Last Name

SHAH

Suffix

Business Name

PRAYAG D SHAH OD

Original Issue Date

01/09/2003

Effective Date

01/15/2026

Expiration Date

03/31/2028

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/15/2026