RITA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036122162

License Status

NOT RENEWED

Business

First Name

RITA

Last Name

SHAH

Suffix

Business Name

RITA SHAH MD

Original Issue Date

10/31/2008

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

ASTORIA

State

Zip

11102

Ever Disciplined

LastModifiedDate

01/14/2021