KHUSHBOO M SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

KHUSHBOO

Middle

Last Name

SHAH

Business Name

KHUSHBOO M SHAH

Original Issue Date

09/27/2021

Effective Date

01/24/2026

Expiration Date

03/01/2028

City

CAROL STREAM

State

Zip

60188

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/24/2026