DANESH A ALAM - Medical Doctor License in Illinois | # 125036850

DANESH A ALAM

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036850

License Status

CANCELLED

Business

N

First Name

DANESH

Middle

A

Last Name

ALAM

Business Name

DANESH A ALAM

Original Issue Date

06/19/1997

Effective Date

06/19/1997

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Psychiatry

Ever Disciplined

N

LastModifiedDate

09/22/2006