ISHFAQ HUSSAIN SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047086

License Status

NOT RENEWED

Business

First Name

ISHFAQ HUSSAIN

Last Name

SHAH

Suffix

Business Name

ISHFAQ HUSSAIN SHAH MD

Original Issue Date

02/07/1973

Effective Date

02/07/1973

City

MAYWOOD

State

Zip

07607

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006