ANJUM BASHIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****49

License Status

NOT RENEWED

Business

First Name

ANJUM

Last Name

BASHIR

Suffix

Business Name

ANJUM BASHIR MD

Original Issue Date

11/22/2005

Effective Date

11/22/2005

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020