License holder summary

LISA CICCARELLI SHAH is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/23/2004 and expired on 06/30/2008.

Department of Licensing and Regulatory Affairs

Board of Medicine

LISA CICCARELLI SHAH
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101015963
Date granted
06/23/2004
Date expires
06/30/2008
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Lapsed
Address
michiganmedical.net
ID 39125798
LAST UPDATED 2024-01-23 04:28:53 UTC

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