SHIRENE M NOURBASH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036096709

License Status

NOT RENEWED

Business

First Name

SHIRENE

Middle

Last Name

NOURBASH

Business Name

SHIRENE M NOURBASH

Original Issue Date

09/15/1997

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021