PALAK PANKAJ SHAH DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067020

License Status

EXPIRED

Business

Title

First Name

PALAK

Middle

PANKAJ

Last Name

SHAH

Business Name

PALAK PANKAJ SHAH DO

Original Issue Date

06/25/2015

Effective Date

06/25/2015

Expiration Date

06/24/2018

City

PHOENIX

State

Zip

85085

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/25/2018