TABASSUM Z IMAM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102901

License Status

NOT RENEWED

Business

First Name

TABASSUM

Middle

Last Name

IMAM

Suffix

Business Name

TABASSUM Z IMAM MD

Original Issue Date

06/30/2000

Effective Date

04/14/2014

Expiration Date

07/31/2017

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017