JITENDRA PRANLAL SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

NOT RENEWED

Business

First Name

JITENDRA PRANLAL

Last Name

SHAH

Suffix

Business Name

JITENDRA PRANLAL SHAH MD

Original Issue Date

05/18/2007

Effective Date

04/25/2014

Expiration Date

07/31/2017

City

ST LOUIS

State

Zip

63141

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017