CASSIM IGRAM DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070858

License Status

INACTIVE

Business

First Name

CASSIM

Last Name

IGRAM

Suffix

Business Name

CASSIM IGRAM DO

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/31/1999

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1996002347

Action

Fine

Discipline Start Date

02/11/1999

Discipline Reason

Allegedly failed to provide requested information to the Department in a timely manner. $4000 FINE DUE IMMEDIATELY -PAID