SONAL DEVENDRA SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141364

License Status

ACTIVE

Business

Title

First Name

SONAL

Middle

DEVENDRA

Last Name

SHAH

Business Name

SONAL DEVENDRA SHAH MD

Original Issue Date

07/28/2016

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

06/13/2023