INDRAVADAN KESHA SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060912

License Status

NOT RENEWED

Business

First Name

INDRAVADAN KESHA

Last Name

SHAH

Suffix

Business Name

INDRAVADAN KESHA SHAH MD

Original Issue Date

09/11/1980

Effective Date

09/11/1980

Expiration Date

07/31/1984

City

OKLAHOMA CITY

State

Zip

73112

County

OKLAHOMA

Ever Disciplined

LastModifiedDate

09/20/2006