SHUMYLE ALAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

SHUMYLE

Last Name

ALAM

Business Name

SHUMYLE ALAM

Original Issue Date

07/16/2002

Effective Date

07/16/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006