PALAK PANKAJ SHAH DO - Medical Doctor License in Arizona | # 125067020

PALAK PANKAJ SHAH DO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067020

License Status

EXPIRED

Business

N

Title

DO

First Name

PALAK

Middle

PANKAJ

Last Name

SHAH

Business Name

PALAK PANKAJ SHAH DO

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2018

State

AZ

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

10/25/2018