KETAN D SHAH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101260

License Status

NOT RENEWED

Business

First Name

KETAN

Middle

Last Name

SHAH

Business Name

KETAN D SHAH

Original Issue Date

09/14/1999

Effective Date

09/14/1999

Expiration Date

07/31/2002

City

CHARLOTTE

State

Zip

28270

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006