PRAKASH D SHAH MD - Medical Doctor License in Wisconsin | # 036094049

PRAKASH D SHAH MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094049

License Status

NOT RENEWED

Business

N

Title

MD

First Name

PRAKASH

Middle

D

Last Name

SHAH

Business Name

PRAKASH D SHAH MD

Original Issue Date

08/19/1996

Effective Date

05/18/2020

Expiration Date

07/31/2023

State

WI

Ever Disciplined

N

LastModifiedDate

11/30/2023