SUDHIRKUMAR P SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112015

License Status

INACTIVE

Business

First Name

SUDHIRKUMAR

Middle

Last Name

SHAH

Suffix

Business Name

SUDHIRKUMAR P SHAH MD

Original Issue Date

08/03/2004

Effective Date

08/03/2004

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006