ALPA CHANDRAKANT SHAH MD - Medical Doctor License in Wisconsin | # 036097899

ALPA CHANDRAKANT SHAH MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097899

License Status

INACTIVE

Business

N

First Name

ALPA

Middle

CHANDRAKANT

Last Name

SHAH

Suffix

MD

Business Name

ALPA CHANDRAKANT SHAH MD

Original Issue Date

06/02/1998

Effective Date

06/02/1998

Expiration Date

07/31/2005

State

WI

Ever Disciplined

N

LastModifiedDate

10/09/2006