PANKAJ K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065851

License Status

NOT RENEWED

Business

First Name

PANKAJ

Middle

Last Name

SHAH

Suffix

Business Name

PANKAJ K SHAH MD

Original Issue Date

12/22/1982

Effective Date

12/22/1982

Expiration Date

07/31/1993

City

GULFPORT

State

Zip

39507

County

MISSISSIPPI

Ever Disciplined

LastModifiedDate

05/12/2010

Case Number

2009009128

Action

Refuse To Renew

Discipline Start Date

05/12/2010

Discipline Reason

Due to a sister-state discipline based upon failure to maintain adequate medical records.