SHAHLA Y NAMAK Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110161

License Status

NOT RENEWED

Business

First Name

SHAHLA

Middle

Last Name

NAMAK

Business Name

SHAHLA Y NAMAK

Original Issue Date

09/22/2003

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

11/06/2008