RAJIV K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155216

License Status

NOT RENEWED

Business

Title

First Name

RAJIV

Middle

Last Name

SHAH

Business Name

RAJIV K SHAH MD

Original Issue Date

01/05/2021

Effective Date

01/05/2021

Expiration Date

07/31/2023

City

SAINT LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023