SHAHINA SAEED GANTIWALA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085852

License Status

ACTIVE

Business

Title

First Name

SHAHINA

Middle

SAEED

Last Name

GANTIWALA

Business Name

SHAHINA SAEED GANTIWALA MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

ROCKFORD

State

Zip

61103

County

BOONE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/19/2025