SAMEENA SULTANA WAFA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114144

License Status

NOT RENEWED

Business

First Name

SAMEENA

Middle

SULTANA

Last Name

WAFA

Suffix

Business Name

SAMEENA SULTANA WAFA MD

Original Issue Date

07/11/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MODESTO

State

Zip

95355

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008