KHIZER SHAMIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083189

License Status

ACTIVE

Business

Title

First Name

KHIZER

Last Name

SHAMIM

Business Name

KHIZER SHAMIM MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

04/16/2024