BHARAT KANTILAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049764

License Status

NOT RENEWED

Business

First Name

BHARAT KANTILAL

Last Name

SHAH

Suffix

Business Name

BHARAT KANTILAL SHAH MD

Original Issue Date

08/28/1974

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

WILDWOOD

State

Zip

63005

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/24/2022