DIPTI R SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093985

License Status

INACTIVE

Business

First Name

DIPTI R

Last Name

SHAH

Suffix

Business Name

DIPTI R SHAH MD

Original Issue Date

08/13/1996

Effective Date

08/13/1996

Expiration Date

07/31/2002

City

MARINA DEL REY

State

Zip

90292

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006