PRIYANKA ARUN SHAH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007759

License Status

NOT RENEWED

Business

First Name

PRIYANKA

Middle

ARUN

Last Name

SHAH

Business Name

PRIYANKA ARUN SHAH

Original Issue Date

06/16/2020

Effective Date

06/16/2020

Expiration Date

03/01/2022

City

FREMONT

State

Zip

94539

Ever Disciplined

LastModifiedDate

07/27/2022