ERUM SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010975

License Status

ACTIVE

Business

First Name

ERUM

Last Name

SHAH

Business Name

ERUM SHAH

Original Issue Date

12/02/2024

Effective Date

12/02/2024

Expiration Date

03/01/2026

City

KALAMAZOO

State

Zip

49009

Ever Disciplined

LastModifiedDate

12/03/2025