JUVARIA SHAHABUDDIN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

JUVARIA

Last Name

SHAHABUDDIN

Business Name

JUVARIA SHAHABUDDIN

Original Issue Date

06/16/2015

Effective Date

06/16/2015

Expiration Date

07/31/2017

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017