SHIREEN MUKADAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

Title

First Name

SHIREEN

Last Name

MUKADAM

Business Name

SHIREEN MUKADAM MD

Original Issue Date

07/07/2020

Effective Date

07/07/2020

Expiration Date

07/31/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023