GAURAV K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100330

License Status

NOT RENEWED

Business

First Name

GAURAV

Middle

Last Name

SHAH

Suffix

Business Name

GAURAV K SHAH MD

Original Issue Date

06/16/1999

Effective Date

06/26/2020

Expiration Date

07/31/2023

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/30/2023