SONAL SHAH RAVICHANDRAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

SONAL

Middle

SHAH

Last Name

RAVICHANDRAN

Suffix

Business Name

SONAL SHAH RAVICHANDRAN MD

Original Issue Date

11/27/2006

Effective Date

07/28/2011

Expiration Date

07/31/2014

City

SAINT LOUIS

State

Zip

63110

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014