SHAFKAT ANWAR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****49

NOT RENEWED

N

MD

SHAFKAT

ANWAR

SHAFKAT ANWAR MD

07/28/2016

04/11/2017

09/30/2020

CARBONDALE

IL

62901

JACKSON

PRACTITIONER

II III IV V

N

01/14/2021