EJAZ SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149641

License Status

ACTIVE

Business

Title

First Name

EJAZ

Last Name

SHAH

Business Name

EJAZ SHAH MD

Original Issue Date

06/12/2019

Effective Date

05/27/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

Ever Disciplined

LastModifiedDate

06/15/2025