SAMIR PRASHANT SHAH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146801

License Status

ACTIVE

Business

Title

First Name

SAMIR

Middle

PRASHANT

Last Name

SHAH

Business Name

SAMIR PRASHANT SHAH MD

Original Issue Date

07/06/2018

Effective Date

04/25/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53045

Ever Disciplined

LastModifiedDate

04/25/2023