FATIMA FALLAH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051147

License Status

NOT RENEWED

Business

Title

First Name

FATIMA

Last Name

FALLAH

Business Name

FATIMA FALLAH MD

Original Issue Date

07/10/1975

Effective Date

09/08/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011