AMTUL SHAFI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001404

License Status

EXPIRED

Business

Title

First Name

AMTUL

Last Name

SHAFI

Business Name

AMTUL SHAFI MD

Original Issue Date

07/05/2021

Effective Date

07/05/2021

Expiration Date

08/04/2021

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Endocrinology-Diabetes-Metabolism

Ever Disciplined

LastModifiedDate

10/11/2022