SIDDHARTHA S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078987

License Status

NOT RENEWED

Business

First Name

SIDDHARTHA S

Last Name

SHAH

Suffix

Business Name

SIDDHARTHA S SHAH MD

Original Issue Date

06/09/1989

Effective Date

06/09/1989

Expiration Date

07/31/2002

City

EAST AMHERST

State

Zip

14051

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006