SHADI ADEL ALTWAL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112737

License Status

ACTIVE

Business

First Name

SHADI

Middle

ADEL

Last Name

ALTWAL

Suffix

Business Name

SHADI ADEL ALTWAL MD

Original Issue Date

12/07/2004

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/03/2023