SHAIBAL MAZUMDAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

ACTIVE

Business

Title

First Name

SHAIBAL

Last Name

MAZUMDAR

Business Name

SHAIBAL MAZUMDAR MD

Original Issue Date

10/02/2024

Effective Date

10/02/2024

Expiration Date

07/31/2026

City

FLOSSMOOR

State

Zip

60422

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/02/2024