DIPAKKUMAR SHANU SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054079

License Status

NOT RENEWED

Business

First Name

DIPAKKUMAR SHANU

Last Name

SHAH

Suffix

Business Name

DIPAKKUMAR SHANU SHAH MD

Original Issue Date

01/13/1977

Effective Date

08/02/2017

Expiration Date

09/30/2020

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

01/14/2021