SHAKUNTALA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053207

License Status

NOT RENEWED

Business

First Name

SHAKUNTALA

Last Name

SHAH

Suffix

Business Name

SHAKUNTALA SHAH MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

City

BROOKLYN

State

Zip

11218

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006