MARIAM AEHTESHAM MD - Medical Doctor License in Illinois | # 125068367

MARIAM AEHTESHAM MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068367

License Status

EXPIRED

Business

N

Title

MD

First Name

MARIAM

Last Name

AEHTESHAM

Business Name

MARIAM AEHTESHAM MD

Original Issue Date

06/24/2016

Effective Date

06/24/2016

Expiration Date

06/23/2019

State

IL

Specialty/Qualifier

Internal Medicine

Ever Disciplined

N

LastModifiedDate

10/02/2019