License holder summary

JYOTI R SHAH is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for JYOTI R SHAH is CHILDREN SERVICES CENTER 335 SOUTH FRANKLIN STREET Wilkes Barre PA 18702. This licensed professional license is not current. The license was granted 03/14/2005.

Pennsylvania

Department of State

JYOTI R SHAH
Medicine - Written Agreement
License number
MX003487
Date granted
03/14/2005
Class
Medicine - Written Agreement
Status
Inactive
Address
CHILDREN SERVICES CENTER 335 SOUTH FRANKLIN STREET Wilkes Barre PA 18702
palicensing.org
ID 16661656
LAST UPDATED 2024-03-15 01:05:45 UTC

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