SAMMAN SHAHPAR MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055662

License Status

CANCELLED

Business

Title

First Name

SAMMAN

Last Name

SHAHPAR

Business Name

SAMMAN SHAHPAR MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Physical Medicine & Rehabilitation

Ever Disciplined

LastModifiedDate

04/07/2009