BIRVA K SHAH OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****19

License Status

ACTIVE

Business

First Name

BIRVA

Middle

Last Name

SHAH

Suffix

Business Name

BIRVA K SHAH OD

Original Issue Date

06/04/2012

Effective Date

03/26/2026

Expiration Date

03/31/2028

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/26/2026