MANOUCHEHR T SHAHAB MD - Medical Doctor License in New Jersey | # 036046341

MANOUCHEHR T SHAHAB MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046341

License Status

NOT RENEWED

Business

N

First Name

MANOUCHEHR T

Last Name

SHAHAB

Suffix

MD

Business Name

MANOUCHEHR T SHAHAB MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

State

NJ

Ever Disciplined

N

LastModifiedDate

09/20/2006