SHAIBAL MAZUMDAR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036140216

License Status

ACTIVE

Business

Title

First Name

SHAIBAL

Last Name

MAZUMDAR

Business Name

SHAIBAL MAZUMDAR MD

Original Issue Date

03/30/2016

Effective Date

04/05/2023

Expiration Date

07/31/2026

City

BROOKFIELD

State

Zip

53045

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/05/2023