GHAZAL SHAFIEI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125057230

License Status

CANCELLED

Business

Title

First Name

GHAZAL

Last Name

SHAFIEI

Business Name

GHAZAL SHAFIEI MD

Original Issue Date

07/09/2012

Effective Date

07/09/2012

Expiration Date

07/08/2013

City

ORLAND PARK

State

Zip

60462

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/29/2012