RICKY J SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

ACTIVE

Business

First Name

RICKY

Middle

Last Name

SHAH

Business Name

RICKY J SHAH

Original Issue Date

12/17/2013

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025