MARYAM BANIKAZEMI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094221

License Status

NOT RENEWED

Business

First Name

MARYAM

Last Name

BANIKAZEMI

Suffix

Business Name

MARYAM BANIKAZEMI MD

Original Issue Date

09/16/1996

Effective Date

09/16/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

08/15/2012