KULSOOM SHAH Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089379

License Status

INACTIVE

Business

First Name

KULSOOM

Last Name

SHAH

Business Name

KULSOOM SHAH

Original Issue Date

08/09/1994

Effective Date

08/09/1994

Expiration Date

07/31/2005

City

SMITHTOWN

State

Zip

11787

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006