CHRISTIANA SHABNAM SHOUSHTARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153562

License Status

ACTIVE

Business

Title

First Name

CHRISTIANA

Middle

SHABNAM

Last Name

SHOUSHTARI

Business Name

CHRISTIANA SHABNAM SHOUSHTARI MD

Original Issue Date

07/01/2020

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

04/11/2023