SHUMYLE ALAM Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036106188

License Status

NOT RENEWED

Business

First Name

SHUMYLE

Last Name

ALAM

Business Name

SHUMYLE ALAM

Original Issue Date

01/31/2002

Effective Date

01/31/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/27/2011