JITENDRA PRANLAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052350

License Status

NOT RENEWED

Business

First Name

JITENDRA PRANLAL

Last Name

SHAH

Suffix

Business Name

JITENDRA PRANLAL SHAH MD

Original Issue Date

02/13/1976

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017