JAYEN C SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065948

License Status

NOT RENEWED

Business

First Name

JAYEN C

Last Name

SHAH

Suffix

Business Name

JAYEN C SHAH MD

Original Issue Date

01/18/1983

Effective Date

01/18/1983

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/10/2007