MUKTA K SHAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036079197

License Status

NOT RENEWED

Business

First Name

MUKTA K

Last Name

SHAH

Suffix

Business Name

MUKTA K SHAH MD

Original Issue Date

07/19/1989

Effective Date

07/19/1989

Expiration Date

07/31/2002

City

WILKES BARRE

State

Zip

18705

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

02/03/2007

Case Number

2005006928

Action

Refuse To Renew

Discipline Start Date

12/28/2005

Discipline Reason

Sister-state discipline.