ANNISA L JAMIL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036108408

License Status

NOT RENEWED

Business

First Name

ANNISA

Middle

Last Name

JAMIL

Business Name

ANNISA L JAMIL

Original Issue Date

01/09/2003

Effective Date

07/28/2014

Expiration Date

07/31/2017

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/01/2017