SHABNUM E MATTHEWS Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036118

License Status

CANCELLED

Business

First Name

SHABNUM

Middle

Last Name

MATTHEWS

Business Name

SHABNUM E MATTHEWS

Original Issue Date

05/15/1997

Effective Date

05/15/1997

Expiration Date

06/23/2000

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006