INAGANTI M SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094286

License Status

NOT RENEWED

Business

First Name

INAGANTI M

Last Name

SHAH

Business Name

INAGANTI M SHAH

Original Issue Date

09/26/1996

Effective Date

09/26/1996

Expiration Date

07/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

09/20/2006