PARUL YOGENDRA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

PARUL

Middle

YOGENDRA

Last Name

SHAH

Suffix

Business Name

PARUL YOGENDRA SHAH MD

Original Issue Date

02/21/2003

Effective Date

02/21/2003

Expiration Date

07/31/2008

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011