KUNVARJI GANGJI SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041608

License Status

NOT RENEWED

Business

First Name

KUNVARJI GANGJI

Last Name

SHAH

Suffix

Business Name

KUNVARJI GANGJI SHAH MD

Original Issue Date

03/29/1968

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2001007018

Action

Reprimand

Discipline Start Date

10/01/2004

Discipline Reason

Failed to supervise staff during a surgery which resulted in a burn to the patient's arm.