SHAMS SHAFIEI Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

SHAMS

Last Name

SHAFIEI

Business Name

SHAMS SHAFIEI

Original Issue Date

11/25/1987

Effective Date

04/11/2017

Expiration Date

09/30/2020

City

ORLAND PARK

State

Zip

60462

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021