MARIAM E BAROUTA KHARZO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114140

License Status

NOT RENEWED

Business

First Name

MARIAM

Middle

E BAROUTA

Last Name

KHARZO

Suffix

Business Name

MARIAM E BAROUTA KHARZO MD

Original Issue Date

07/08/2005

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017