DIWANTE JAMAL SHUFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

ACTIVE

Business

Title

First Name

DIWANTE

Middle

JAMAL

Last Name

SHUFORD

Business Name

DIWANTE JAMAL SHUFORD MD

Original Issue Date

04/17/2025

Effective Date

04/17/2025

Expiration Date

07/31/2026

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/17/2025