KHUSHBU R 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

KHUSHBU

Middle

Last Name

SHAH

Business Name

KHUSHBU R SHAH

Original Issue Date

01/16/2024

Effective Date

01/16/2024

Expiration Date

03/01/2026

City

DES PLAINES

State

Zip

60016

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025