DEANNA ASHOK SHAH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009249

License Status

NOT RENEWED

Business

First Name

DEANNA

Middle

ASHOK

Last Name

SHAH

Business Name

DEANNA ASHOK SHAH

Original Issue Date

09/22/2022

Effective Date

09/22/2022

Expiration Date

03/01/2024

City

SAN DIEGO

State

Zip

92121

Ever Disciplined

LastModifiedDate

02/05/2025