JAY N SHAH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109160

License Status

INACTIVE

Business

First Name

JAY

Middle

Last Name

SHAH

Business Name

JAY N SHAH

Original Issue Date

05/01/2003

Effective Date

05/01/2003

Expiration Date

07/31/2005

City

CHARLOTTE

State

Zip

28277

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/09/2006