SHRUNJAL MANISH SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158426

License Status

ACTIVE

Business

Title

First Name

SHRUNJAL

Middle

MANISH

Last Name

SHAH

Business Name

SHRUNJAL MANISH SHAH MD

Original Issue Date

10/01/2021

Effective Date

07/07/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

Ever Disciplined

LastModifiedDate

07/07/2023