SHITAL SAURIN MAKIM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121614

License Status

NOT RENEWED

Business

First Name

SHITAL

Middle

SAURIN

Last Name

MAKIM

Suffix

Business Name

SHITAL SAURIN MAKIM MD

Original Issue Date

07/31/2008

Effective Date

07/31/2008

Expiration Date

07/31/2011

City

CAMBRIDGE

State

Zip

02140

Ever Disciplined

LastModifiedDate

11/14/2011