KANTI H SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042239

License Status

INACTIVE

Business

First Name

KANTI H

Last Name

SHAH

Suffix

Business Name

KANTI H SHAH MD

Original Issue Date

10/23/1968

Effective Date

10/23/1968

Expiration Date

07/31/1990

City

MONROE

State

Zip

48161

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006