SHAUKAT A THANAWALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094969

License Status

NOT RENEWED

Business

First Name

SHAUKAT A

Last Name

THANAWALLA

Suffix

Business Name

SHAUKAT A THANAWALLA MD

Original Issue Date

03/06/1997

Effective Date

03/06/1997

Expiration Date

07/31/1999

City

MANCHESTER

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006