JUVARIA SHAHABUDDIN Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062388

License Status

CANCELLED

Business

First Name

JUVARIA

Last Name

SHAHABUDDIN

Business Name

JUVARIA SHAHABUDDIN

Original Issue Date

07/03/2012

Effective Date

07/03/2012

Expiration Date

07/02/2015

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

03/24/2014