SHAUKAT A THANAWALLA MD - Medical Doctor License in Missouri | # 036094969

SHAUKAT A THANAWALLA MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094969

License Status

NOT RENEWED

Business

N

First Name

SHAUKAT A

Last Name

THANAWALLA

Suffix

MD

Business Name

SHAUKAT A THANAWALLA MD

Original Issue Date

03/06/1997

Effective Date

03/06/1997

Expiration Date

07/31/1999

State

MO

Ever Disciplined

N

LastModifiedDate

09/20/2006