SURRIN SHAZAM DEEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125084987

License Status

ACTIVE

Business

Title

First Name

SURRIN

Middle

SHAZAM

Last Name

DEEN

Business Name

SURRIN SHAZAM DEEN MD

Original Issue Date

08/28/2025

Effective Date

08/28/2025

Expiration Date

08/27/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Advanced Neuroradiology

Ever Disciplined

LastModifiedDate

06/26/2025