DHRUV J SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101941

License Status

INACTIVE

Business

First Name

DHRUV

Middle

Last Name

SHAH

Suffix

Business Name

DHRUV J SHAH MD

Original Issue Date

02/08/2000

Effective Date

02/08/2000

Expiration Date

07/31/2005

City

MANLIUS

State

Zip

13104

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/09/2006