FARIED BANIMAHD MD - Medical Doctor License in Illinois | # 125050124

FARIED BANIMAHD MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050124

License Status

EXPIRED

Business

N

First Name

FARIED

Last Name

BANIMAHD

Suffix

MD

Business Name

FARIED BANIMAHD MD

Original Issue Date

06/21/2005

Effective Date

06/21/2005

Expiration Date

06/20/2006

State

IL

Specialty/Qualifier

General Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006