SHAFAY MUHAMMAD SHAMS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075345

License Status

CANCELLED

Business

Title

First Name

SHAFAY

Middle

MUHAMMAD

Last Name

SHAMS

Business Name

SHAFAY MUHAMMAD SHAMS MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

ROCKFORD

State

Zip

61103

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

12/26/2019