SHABNAM SHAKIL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048775

License Status

EXPIRED

Business

First Name

SHABNAM

Last Name

SHAKIL

Suffix

Business Name

SHABNAM SHAKIL MD

Original Issue Date

07/30/2004

Effective Date

07/30/2004

Expiration Date

07/29/2007

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

08/29/2007