MODASER SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063539

License Status

NOT RENEWED

Business

First Name

MODASER

Last Name

SHAH

Suffix

Business Name

MODASER SHAH MD

Original Issue Date

11/13/1981

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

JOPLIN

State

Zip

64804

Ever Disciplined

LastModifiedDate

11/30/2023