BABAK ABDOLLAH SHAMSHIRSAZ MD - Medical Doctor License in Illinois | # 125056529

BABAK ABDOLLAH SHAMSHIRSAZ MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056529

License Status

EXPIRED

Business

N

Title

MD

First Name

BABAK

Last Name

ABDOLLAH SHAMSHIRSAZ

Business Name

BABAK ABDOLLAH SHAMSHIRSAZ MD

Original Issue Date

06/25/2009

Effective Date

06/25/2009

Expiration Date

06/24/2012

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

08/29/2012