SHAMSHAD ANJUM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

SHAMSHAD

Last Name

ANJUM

Business Name

SHAMSHAD ANJUM

Original Issue Date

12/03/1998

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

SOUTH BELOIT

State

Zip

61080

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020