DEEPA V SHAH MD - Medical Doctor License in New Jersey | # 036114190

DEEPA V SHAH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114190

License Status

NOT RENEWED

Business

N

First Name

DEEPA

Middle

V

Last Name

SHAH

Suffix

MD

Business Name

DEEPA V SHAH MD

Original Issue Date

07/15/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

NJ

Ever Disciplined

N

LastModifiedDate

11/06/2008