CHANDRAVADAN I SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073136

License Status

INACTIVE

Business

First Name

CHANDRAVADAN

Middle

Last Name

SHAH

Suffix

Business Name

CHANDRAVADAN I SHAH MD

Original Issue Date

07/11/1986

Effective Date

07/11/1986

Expiration Date

07/31/1987

City

WARREN

State

Zip

48089

Ever Disciplined

LastModifiedDate

05/12/2010

Case Number

2009012489

Action

Refuse To Renew

Discipline Start Date

05/12/2010

Discipline Reason

Due to a sister-state discipline based upon misconduct.