SUDHIRKUMAR P SHAH MD - Medical Doctor License in Missouri | # 036112015

SUDHIRKUMAR P SHAH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112015

License Status

INACTIVE

Business

N

First Name

SUDHIRKUMAR

Middle

P

Last Name

SHAH

Suffix

MD

Business Name

SUDHIRKUMAR P SHAH MD

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

07/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006