MOHAMMED MAZIN SHANSHAL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060645

License Status

EXPIRED

Business

Title

First Name

MOHAMMED

Middle

MAZIN

Last Name

SHANSHAL

Business Name

MOHAMMED MAZIN SHANSHAL MD

Original Issue Date

08/24/2011

Effective Date

08/24/2011

Expiration Date

08/23/2014

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/13/2015