AMBER LEIGH SHADA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154097

License Status

ACTIVE

Business

Title

First Name

AMBER

Middle

LEIGH

Last Name

SHADA

Business Name

AMBER LEIGH SHADA MD

Original Issue Date

08/25/2020

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

DEFOREST

State

Zip

53532

Ever Disciplined

LastModifiedDate

07/25/2023