MARMY J SHAH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

MARMY

Middle

Last Name

SHAH

Business Name

MARMY J SHAH

Original Issue Date

08/18/2014

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

SACRAMENTO

State

Zip

95819

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/20/2023