OMER S MIRZA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036099050

License Status

NOT RENEWED

Business

First Name

OMER

Middle

Last Name

MIRZA

Suffix

Business Name

OMER S MIRZA MD

Original Issue Date

09/18/1998

Effective Date

09/18/1998

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006