AMR G EL-SHAFEI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****79

License Status

NOT RENEWED

Business

First Name

AMR

Middle

Last Name

EL-SHAFEI

Suffix

Business Name

AMR G EL-SHAFEI MD

Original Issue Date

08/17/2005

Effective Date

08/17/2005

Expiration Date

07/31/2008

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011