AMIT CHANDRAKANT SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055866

License Status

EXPIRED

Business

First Name

AMIT

Middle

CHANDRAKANT

Last Name

SHAH

Suffix

Business Name

AMIT CHANDRAKANT SHAH MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

DECATUR

State

Zip

62526

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2012