PERVAIZ CHANNAH MD - Medical Doctor License in Illinois | # 125024409

PERVAIZ CHANNAH MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024409

License Status

EXPIRED

Business

N

First Name

PERVAIZ

Last Name

CHANNAH

Suffix

MD

Business Name

PERVAIZ CHANNAH MD

Original Issue Date

07/07/1989

Effective Date

07/07/1989

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006