JAYEN C SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

First Name

JAYEN C

Last Name

SHAH

Suffix

Business Name

JAYEN C SHAH MD

Original Issue Date

06/15/1989

Effective Date

06/15/1989

Expiration Date

07/31/1990

City

CHESTER

State

Zip

62233

County

RANDOLPH

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006