PARAJ N SHAH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

NOT RENEWED

Business

First Name

PARAJ

Middle

Last Name

SHAH

Business Name

PARAJ N SHAH

Original Issue Date

07/21/2014

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

QUINCY

State

Zip

62301

County

ADAMS

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020