SHAHEEN IBRAHIM UMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****92

License Status

NOT RENEWED

Business

First Name

SHAHEEN

Middle

IBRAHIM

Last Name

UMAR

Suffix

Business Name

SHAHEEN IBRAHIM UMAR MD

Original Issue Date

02/22/2010

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

AURORA

State

Zip

60504

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021