BHARAT J SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064312

License Status

NOT RENEWED

Business

First Name

BHARAT J

Last Name

SHAH

Suffix

Business Name

BHARAT J SHAH MD

Original Issue Date

05/10/1982

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/11/2019