BOBBY HEMENDRA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

BOBBY

Middle

HEMENDRA

Last Name

SHAH

Suffix

Business Name

BOBBY HEMENDRA SHAH MD

Original Issue Date

08/21/2008

Effective Date

09/20/2018

Expiration Date

09/30/2020

City

KIRKWOOD

State

Zip

63122

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021