CHRISTIANA SHABNAM SHOUSHTARI MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072972

License Status

CANCELLED

Business

Title

First Name

CHRISTIANA

Middle

SHABNAM

Last Name

SHOUSHTARI

Business Name

CHRISTIANA SHABNAM SHOUSHTARI MD

Original Issue Date

06/25/2018

Effective Date

06/25/2018

Expiration Date

06/24/2021

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2018