POORVI PRAVINCHANDRA SHAH DO

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****32

NOT RENEWED

N

DO

POORVI

PRAVINCHANDRA

SHAH

POORVI PRAVINCHANDRA SHAH DO

08/27/2014

08/27/2014

07/31/2017

ARLINGTON

VA

22203

VIRGINIA

PRACTITIONER

II III IV V

N

11/01/2017