INAGANTI M SHAH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031854

License Status

EXPIRED

Business

First Name

INAGANTI M

Last Name

SHAH

Business Name

INAGANTI M SHAH

Original Issue Date

06/15/1994

Effective Date

06/15/1994

Expiration Date

06/30/1997

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006