SHAHAM SYED MUMTAZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

SHAHAM

Middle

SYED

Last Name

MUMTAZ

Suffix

Business Name

SHAHAM SYED MUMTAZ MD

Original Issue Date

09/21/2017

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

ELMHURST

State

Zip

60126

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023