SHAHAM SYED MUMTAZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063006

License Status

CANCELLED

Business

First Name

SHAHAM

Middle

SYED

Last Name

MUMTAZ

Suffix

Business Name

SHAHAM SYED MUMTAZ MD

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2019

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Gastroenterology

Ever Disciplined

LastModifiedDate

06/22/2016