SURESH R SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048847

License Status

NOT RENEWED

Business

First Name

SURESH R

Last Name

SHAH

Suffix

Business Name

SURESH R SHAH MD

Original Issue Date

02/05/1974

Effective Date

02/05/1974

City

JERICHO

State

Zip

11753

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006