License holder summary

SIDDHARTH ASHOKKUMAR SHAH is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for SIDDHARTH ASHOKKUMAR SHAH is Jamaica NY 11435. This medical practitioner license is not current. The license was granted 03/09/2010 and expired on 06/30/2013.

Department of State

Board of Medicine

SIDDHARTH ASHOKKUMAR SHAH
Graduate Medical Trainee
License number
MT196432
Date granted
03/09/2010
Date expires
06/30/2013
Class
Graduate Medical Trainee
Status
Inactive
Address
Jamaica NY 11435
medicinepa.com
ID 37570116
LAST UPDATED 2024-03-25 22:58:17 UTC

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