SHAMAILA B GORSI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

ACTIVE

Business

First Name

SHAMAILA

Middle

Last Name

GORSI

Suffix

Business Name

SHAMAILA B GORSI MD

Original Issue Date

02/04/2016

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61612

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023