TAISEER J SHATARA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

TAISEER J

Last Name

SHATARA

Business Name

TAISEER J SHATARA

Original Issue Date

11/23/1988

Effective Date

11/23/1988

Expiration Date

07/31/1999

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006