SUMMIT S SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125953

License Status

NOT RENEWED

Business

First Name

SUMMIT

Middle

Last Name

SHAH

Suffix

Business Name

SUMMIT S SHAH MD

Original Issue Date

06/08/2010

Effective Date

06/08/2010

Expiration Date

07/31/2011

City

HILLIARD

State

Zip

43026

County

OHIO

Ever Disciplined

LastModifiedDate

11/14/2011