BUSHRA SHAUKAT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

Title

First Name

BUSHRA

Last Name

SHAUKAT

Business Name

BUSHRA SHAUKAT MD

Original Issue Date

06/20/2014

Effective Date

06/12/2023

Expiration Date

07/31/2026

City

O FALLON

State

Zip

62269

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/12/2023