SAMER SALAM SHAJA DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

SAMER

Middle

SALAM

Last Name

SHAJA

Business Name

SAMER SALAM SHAJA DO

Original Issue Date

08/28/2019

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

GLENWOOD

State

Zip

60425

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023