EMAN M SHABAN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****03

License Status

ACTIVE

Business

Title

First Name

EMAN

Middle

Last Name

SHABAN

Business Name

EMAN M SHABAN MD

Original Issue Date

05/25/2016

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023