ENAS MOHAMED SHANSHEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

ENAS

Middle

MOHAMED

Last Name

SHANSHEN

Business Name

ENAS MOHAMED SHANSHEN MD

Original Issue Date

07/20/2021

Effective Date

05/19/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/19/2023