VAJEEHA TABASSUM MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126602

License Status

NOT RENEWED

Business

Title

First Name

VAJEEHA

Last Name

TABASSUM

Business Name

VAJEEHA TABASSUM MD

Original Issue Date

08/31/2010

Effective Date

06/17/2011

Expiration Date

07/31/2014

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/17/2014