HARENDRA SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

ACTIVE

Business

First Name

HARENDRA

Last Name

SHAH

Business Name

HARENDRA SHAH

Original Issue Date

01/29/2002

Effective Date

01/14/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60659

County

COOK

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

01/14/2026