MEENAL B SHAH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

CANCELLED

Business

First Name

MEENAL B

Last Name

SHAH

Suffix

Business Name

MEENAL B SHAH MD

Original Issue Date

01/07/1985

Effective Date

01/07/1985

Expiration Date

07/31/2008

City

EAST ST LOUIS

State

Zip

62202

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2008