AMBER MARIAM DAVE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036136796

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MARIAM

Last Name

DAVE

Suffix

Business Name

AMBER MARIAM DAVE MD

Original Issue Date

11/13/2014

Effective Date

11/13/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60606

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017