DANIEL SHIFTEH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000185

License Status

EXPIRED

Business

First Name

DANIEL

Last Name

SHIFTEH

Suffix

Business Name

DANIEL SHIFTEH MD

Original Issue Date

12/16/2002

Effective Date

12/16/2002

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/25/2018