SHAJU SHAMSUDDIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024631

License Status

EXPIRED

Business

First Name

SHAJU

Last Name

SHAMSUDDIN

Suffix

Business Name

SHAJU SHAMSUDDIN MD

Original Issue Date

03/31/1990

Effective Date

03/31/1990

Expiration Date

04/14/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006