FATEMA MERCHANT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113940

License Status

NOT RENEWED

Business

First Name

FATEMA

Last Name

MERCHANT

Suffix

Business Name

FATEMA MERCHANT MD

Original Issue Date

06/20/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011