RUSHABH A SHAH MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****30

NOT RENEWED

N

MD

RUSHABH

A

SHAH

RUSHABH A SHAH MD

09/21/2016

09/21/2016

07/31/2017

PLYMOUTH

IN

46563

INDIANA

PRACTITIONER

II III IV V

N

11/01/2017