RICKY J SHAH Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004825

License Status

ACTIVE

Business

First Name

RICKY

Middle

Last Name

SHAH

Business Name

RICKY J SHAH

Original Issue Date

09/13/2013

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

COLONIA

State

Zip

07067

Ever Disciplined

LastModifiedDate

12/03/2025