ISHANGI SHAH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****00

License Status

INOPERATIVE

Business

First Name

ISHANGI

Last Name

SHAH

Business Name

ISHANGI SHAH

Original Issue Date

09/08/2020

Effective Date

01/31/2022

Expiration Date

03/01/2024

City

BRIDGEVIEW

State

Zip

60455

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2023