SYEDA SHAISTA RUMMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

NOT RENEWED

Business

First Name

SYEDA

Middle

SHAISTA

Last Name

RUMMAN

Suffix

Business Name

SYEDA SHAISTA RUMMAN MD

Original Issue Date

05/02/2008

Effective Date

05/02/2008

Expiration Date

07/31/2011

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011