KETAN A SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101869

License Status

ACTIVE

Business

First Name

KETAN

Middle

Last Name

SHAH

Suffix

Business Name

KETAN A SHAH MD

Original Issue Date

01/31/2000

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

04/11/2023