DONNA SHUKA SAFFAEI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075863

License Status

EXPIRED

Business

First Name

DONNA

Middle

SHUKA

Last Name

SAFFAEI

Business Name

DONNA SHUKA SAFFAEI

Original Issue Date

06/22/2020

Effective Date

06/22/2020

Expiration Date

06/21/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/11/2022