UPENDRA M SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076962

License Status

NOT RENEWED

Business

First Name

UPENDRA M

Last Name

SHAH

Suffix

Business Name

UPENDRA M SHAH MD

Original Issue Date

05/01/1988

Effective Date

05/01/1988

Expiration Date

07/31/1990

City

NORTH BERGEN

State

Zip

07047

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

09/20/2006