SHAUKAT A BANGASH Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

NOT RENEWED

Business

First Name

SHAUKAT A

Last Name

BANGASH

Business Name

SHAUKAT A BANGASH

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60659

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006