JOSHUA MICHAEL AIZEN MD - Medical Doctor License in Illinois | # 125066308

JOSHUA MICHAEL AIZEN MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125066308

License Status

CANCELLED

Business

N

Title

MD

First Name

JOSHUA

Middle

MICHAEL

Last Name

AIZEN

Business Name

JOSHUA MICHAEL AIZEN MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2018

State

IL

Specialty/Qualifier

Urology

Ever Disciplined

N

LastModifiedDate

01/19/2016