MANOUCHEHR T SHAHAB MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036046341

License Status

NOT RENEWED

Business

First Name

MANOUCHEHR T

Last Name

SHAHAB

Suffix

Business Name

MANOUCHEHR T SHAHAB MD

Original Issue Date

08/17/1972

Effective Date

08/17/1972

City

TOMS RIVER

State

Zip

08753

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006