SHAHAB M EHTESHAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125028633

License Status

EXPIRED

Business

First Name

SHAHAB M

Last Name

EHTESHAM

Business Name

SHAHAB M EHTESHAM

Original Issue Date

06/08/1992

Effective Date

06/08/1992

Expiration Date

06/22/1995

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006