MUJEEB U SHAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132238

License Status

NOT RENEWED

Business

Title

First Name

MUJEEB

Middle

Last Name

SHAD

Business Name

MUJEEB U SHAD MD

Original Issue Date

04/03/2013

Effective Date

04/03/2013

Expiration Date

07/31/2014

City

SALEM

State

Zip

97306

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014