SHAIFUL ISLAM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107375

License Status

INACTIVE

Business

First Name

SHAIFUL

Last Name

ISLAM

Suffix

Business Name

SHAIFUL ISLAM MD

Original Issue Date

07/05/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WOODMERE

State

Zip

11598

Ever Disciplined

LastModifiedDate

04/28/2017