RUSHABH A SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141737

License Status

NOT RENEWED

Business

Title

First Name

RUSHABH

Middle

Last Name

SHAH

Business Name

RUSHABH A SHAH MD

Original Issue Date

09/21/2016

Effective Date

09/21/2016

Expiration Date

07/31/2017

City

MISHAWAKA

State

Zip

46544

County

INDIANA

Ever Disciplined

LastModifiedDate

11/01/2017