MOUSTAFA H SHAFEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073515

License Status

NOT RENEWED

Business

First Name

MOUSTAFA H

Last Name

SHAFEY

Suffix

Business Name

MOUSTAFA H SHAFEY MD

Original Issue Date

08/19/1986

Effective Date

08/19/1986

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006