INDRAVADAN C SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057536

License Status

NOT RENEWED

Business

First Name

INDRAVADAN C

Last Name

SHAH

Suffix

Business Name

INDRAVADAN C SHAH MD

Original Issue Date

08/21/1978

Effective Date

08/21/1978

Expiration Date

07/31/1984

City

LENOX

State

Zip

31637

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006