BASHAR M ALZEIN - Medical Doctor License in Illinois | # 125040149

BASHAR M ALZEIN

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040149

License Status

EXPIRED

Business

N

First Name

BASHAR

Middle

M

Last Name

ALZEIN

Business Name

BASHAR M ALZEIN

Original Issue Date

06/28/1999

Effective Date

06/28/1999

Expiration Date

06/30/2005

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

09/22/2006