SHAHNAZ AZAD - Medical Doctor License in Illinois | # 125035362

SHAHNAZ AZAD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035362

License Status

EXPIRED

Business

N

First Name

SHAHNAZ

Last Name

AZAD

Business Name

SHAHNAZ AZAD

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Infectious Disease

Ever Disciplined

N

LastModifiedDate

09/22/2006