SHAGUFTA SHAHEEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

CANCELLED

Business

Title

First Name

SHAGUFTA

Last Name

SHAHEEN

Business Name

SHAGUFTA SHAHEEN MD

Original Issue Date

07/23/2009

Effective Date

07/23/2009

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011