SHOEB J SITAFALWALLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

Title

First Name

SHOEB

Middle

Last Name

SITAFALWALLA

Business Name

SHOEB J SITAFALWALLA MD

Original Issue Date

08/21/2009

Effective Date

09/06/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2023