AMI ASHVIN SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053269

License Status

EXPIRED

Business

First Name

AMI

Middle

ASHVIN

Last Name

SHAH

Suffix

Business Name

AMI ASHVIN SHAH MD

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

06/24/2008

City

NEWARK

State

Zip

94560

Specialty/Qualifier

Transitional Year

Ever Disciplined

LastModifiedDate

06/26/2008