TAREK HASSAN SHAHBANDAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

NOT RENEWED

Business

First Name

TAREK

Middle

HASSAN

Last Name

SHAHBANDAR

Suffix

Business Name

TAREK HASSAN SHAHBANDAR MD

Original Issue Date

03/24/2011

Effective Date

02/06/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017