SHAHAB M EHTESHAM - Medical Doctor License in Virginia | # 036089558

SHAHAB M EHTESHAM

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089558

License Status

NOT RENEWED

Business

N

First Name

SHAHAB M

Last Name

EHTESHAM

Business Name

SHAHAB M EHTESHAM

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

07/31/1999

State

VA

Ever Disciplined

N

LastModifiedDate

09/20/2006