KETAN SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036074429

License Status

INACTIVE

Business

First Name

KETAN

Last Name

SHAH

Suffix

Business Name

KETAN SHAH MD

Original Issue Date

01/29/1987

Effective Date

05/23/2011

Expiration Date

07/31/2014

City

BATTLE CREEK

State

Zip

49015

County

CALHOUN

Ever Disciplined

LastModifiedDate

04/08/2014