PANKAJLAL S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063764

License Status

NOT RENEWED

Business

First Name

PANKAJLAL S

Last Name

SHAH

Suffix

Business Name

PANKAJLAL S SHAH MD

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

07/01/1982

City

JAMAICA

State

Zip

11432

County

NEW YORK

Ever Disciplined

LastModifiedDate

02/27/2007

Case Number

2004009385

Action

Refuse To Renew

Discipline Start Date

03/29/2005

Discipline Reason

Disciplined in New Jersey.