PERVAIZE LATIF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036053167

License Status

NOT RENEWED

Business

First Name

PERVAIZE

Last Name

LATIF

Suffix

Business Name

PERVAIZE LATIF MD

Original Issue Date

08/19/1976

Effective Date

08/19/1976

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006