NISHA J SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

ACTIVE

Business

First Name

NISHA

Middle

Last Name

SHAH

Business Name

NISHA J SHAH

Original Issue Date

03/10/2023

Effective Date

01/22/2026

Expiration Date

03/01/2028

City

HINSDALE

State

Zip

60521

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/22/2026