POORVI PRAVINCHANDRA SHAH DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136334

License Status

NOT RENEWED

Business

Title

First Name

POORVI

Middle

PRAVINCHANDRA

Last Name

SHAH

Business Name

POORVI PRAVINCHANDRA SHAH DO

Original Issue Date

08/27/2014

Effective Date

08/27/2014

Expiration Date

07/31/2017

City

ARLINGTON

State

Zip

22203

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/01/2017