SUDHA P SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036056231

License Status

INACTIVE

Business

First Name

SUDHA P

Last Name

SHAH

Suffix

Business Name

SUDHA P SHAH MD

Original Issue Date

12/16/1977

Effective Date

06/27/2017

Expiration Date

09/30/2020

City

FREELAND

State

Zip

48623

County

MADISON

Ever Disciplined

LastModifiedDate

04/05/2020