SUMMER AZMAT MD - Medical Doctor License in Illinois | # 125074908

SUMMER AZMAT MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074908

License Status

CANCELLED

Business

N

Title

MD

First Name

SUMMER

Last Name

AZMAT

Business Name

SUMMER AZMAT MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

05/09/2019