SHAFAT AHMAD SIRAJEE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

Title

First Name

SHAFAT

Middle

AHMAD

Last Name

SIRAJEE

Business Name

SHAFAT AHMAD SIRAJEE DO

Original Issue Date

03/15/2021

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/21/2023