AZRA AFREEN NISAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060148

License Status

NOT RENEWED

Business

First Name

AZRA AFREEN

Last Name

NISAR

Suffix

Business Name

AZRA AFREEN NISAR MD

Original Issue Date

03/13/1980

Effective Date

03/13/1980

Expiration Date

07/31/1990

City

SCHILLER PARK

State

Zip

60176

County

COOK

Ever Disciplined

LastModifiedDate

04/22/2020

Case Number

2019006393

Action

Refuse To Renew

Discipline Start Date

04/20/2020

Discipline Reason

physician and surgeon license placed in refuse to renew status due to exclusion from Medicare/Medicaid programs.