ATIQUE A MIRZA Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091011

License Status

INACTIVE

Business

First Name

ATIQUE A

Last Name

MIRZA

Business Name

ATIQUE A MIRZA

Original Issue Date

06/26/1995

Effective Date

06/26/1995

Expiration Date

07/31/1996

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006