HARISH AMBALAL SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067139

License Status

INACTIVE

Business

First Name

HARISH AMBALAL

Last Name

SHAH

Suffix

Business Name

HARISH AMBALAL SHAH MD

Original Issue Date

08/02/1983

Effective Date

08/02/1983

Expiration Date

07/31/1990

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006