SHAHAB JOHN SAFAPOUR MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125038797

License Status

EXPIRED

Business

First Name

SHAHAB

Middle

JOHN

Last Name

SAFAPOUR

Suffix

Business Name

SHAHAB JOHN SAFAPOUR MD

Original Issue Date

08/01/1998

Effective Date

08/01/1998

Expiration Date

07/31/2002

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006