VICKI M SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003811

License Status

ACTIVE

Business

First Name

VICKI

Middle

Last Name

SHAH

Business Name

VICKI M SHAH

Original Issue Date

08/02/2010

Effective Date

01/11/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

01/11/2026