HARDIK A SHAH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052059

License Status

EXPIRED

Business

First Name

HARDIK

Middle

Last Name

SHAH

Suffix

Business Name

HARDIK A SHAH MD

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2009

City

MUNSTER

State

Zip

46321

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/15/2009