SHUMYLE ALAM - Medical Doctor License in Illinois | # 125039939

SHUMYLE ALAM

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039939

License Status

EXPIRED

Business

N

First Name

SHUMYLE

Last Name

ALAM

Business Name

SHUMYLE ALAM

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/30/2002

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

09/22/2006