VIPUL LALITKUMAR SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115330

License Status

NOT RENEWED

Business

First Name

VIPUL

Middle

LALITKUMAR

Last Name

SHAH

Suffix

Business Name

VIPUL LALITKUMAR SHAH MD

Original Issue Date

03/03/2006

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

11/06/2008