SHAMSHAD ANJUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

SHAMSHAD

Last Name

ANJUM

Business Name

SHAMSHAD ANJUM

Original Issue Date

11/04/1998

Effective Date

06/16/2008

Expiration Date

07/31/2011

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020