AAISHA SHAMSUL HAQUE MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118962

License Status

INACTIVE

Business

First Name

AAISHA

Middle

SHAMSUL

Last Name

HAQUE

Suffix

Business Name

AAISHA SHAMSUL HAQUE MD

Original Issue Date

07/17/2007

Effective Date

08/08/2011

Expiration Date

07/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

04/08/2014