TANZEELA MARIAM SHUJA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084558

License Status

ACTIVE

Business

Title

First Name

TANZEELA

Middle

MARIAM

Last Name

SHUJA

Business Name

TANZEELA MARIAM SHUJA MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2027

City

NORTH CHICAGO

State

Zip

60064

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

06/04/2024