SAHAR M SHAFEY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021781

License Status

EXPIRED

Business

First Name

SAHAR M

Last Name

SHAFEY

Business Name

SAHAR M SHAFEY

Original Issue Date

12/17/1987

Effective Date

12/17/1987

Expiration Date

01/01/1991

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006