HANSA J SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094610

License Status

NOT RENEWED

Business

First Name

HANSA J

Last Name

SHAH

Suffix

Business Name

HANSA J SHAH MD

Original Issue Date

12/16/1996

Effective Date

12/16/1996

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006