SURESH R SHAH MD - Medical Doctor License in New York | # 036048847

SURESH R SHAH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048847

License Status

NOT RENEWED

Business

N

First Name

SURESH R

Last Name

SHAH

Suffix

MD

Business Name

SURESH R SHAH MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

State

NY

Ever Disciplined

N

LastModifiedDate

09/20/2006