BHARAT D SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160000

License Status

ACTIVE

Business

Title

First Name

BHARAT

Middle

Last Name

SHAH

Business Name

BHARAT D SHAH MD

Original Issue Date

03/29/2022

Effective Date

08/31/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/31/2023