ABRAHAM FALLAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051101

License Status

NOT RENEWED

Business

First Name

ABRAHAM

Last Name

FALLAH

Suffix

Business Name

ABRAHAM FALLAH MD

Original Issue Date

06/24/1975

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017