NAUDARE MICHAEL SHABANDI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

ACTIVE

Business

Title

First Name

NAUDARE

Middle

MICHAEL

Last Name

SHABANDI

Business Name

NAUDARE MICHAEL SHABANDI MD

Original Issue Date

08/07/2019

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023