SHAISTA QUDDUSI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085477

License Status

NOT RENEWED

Business

First Name

SHAISTA

Last Name

QUDDUSI

Business Name

SHAISTA QUDDUSI

Original Issue Date

10/14/1992

Effective Date

10/14/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006