SHARIQ SHAMIM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****84

License Status

ACTIVE

Business

Title

First Name

SHARIQ

Last Name

SHAMIM

Business Name

SHARIQ SHAMIM MD

Original Issue Date

09/18/2020

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

BRIDGETON

State

Zip

63044

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2023