ALPA CHANDRAKANT SHAH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097899

License Status

INACTIVE

Business

First Name

ALPA

Middle

CHANDRAKANT

Last Name

SHAH

Suffix

Business Name

ALPA CHANDRAKANT SHAH MD

Original Issue Date

06/02/1998

Effective Date

06/02/1998

Expiration Date

07/31/2005

City

MARSHFIELD

State

Zip

54449

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006