SHAHAB M EHTESHAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036089558

License Status

NOT RENEWED

Business

First Name

SHAHAB M

Last Name

EHTESHAM

Business Name

SHAHAB M EHTESHAM

Original Issue Date

08/29/1994

Effective Date

08/29/1994

Expiration Date

07/31/1999

City

WISE

State

Zip

24293

Ever Disciplined

LastModifiedDate

09/20/2006