MOHAMMAD ALI KIZILBASH MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111516

License Status

ACTIVE

Business

Title

First Name

MOHAMMAD

Middle

ALI

Last Name

KIZILBASH

Business Name

MOHAMMAD ALI KIZILBASH MD

Original Issue Date

06/01/2004

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

County

LAKE

Ever Disciplined

LastModifiedDate

06/27/2023