CHRISTIANA SHABNAM SHOUSHTARI MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****87

License Status

ACTIVE

Business

Title

First Name

CHRISTIANA

Middle

SHABNAM

Last Name

SHOUSHTARI

Business Name

CHRISTIANA SHABNAM SHOUSHTARI MD

Original Issue Date

11/22/2021

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023