SHAHINA H JAFRY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

First Name

SHAHINA

Middle

Last Name

JAFRY

Suffix

Business Name

SHAHINA H JAFRY MD

Original Issue Date

07/26/2006

Effective Date

04/18/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020