DIWANTE JAMAL SHUFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171419

License Status

ACTIVE

Business

Title

First Name

DIWANTE

Middle

JAMAL

Last Name

SHUFORD

Business Name

DIWANTE JAMAL SHUFORD MD

Original Issue Date

08/01/2024

Effective Date

08/01/2024

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2025