PANKAJ S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054481

License Status

NOT RENEWED

Business

First Name

PANKAJ

Middle

Last Name

SHAH

Suffix

Business Name

PANKAJ S SHAH MD

Original Issue Date

04/14/1977

Effective Date

07/28/2020

Expiration Date

07/31/2023

City

FREELAND

State

Zip

48623

County

MADISON

Ever Disciplined

LastModifiedDate

11/30/2023