NIDAULLAH MIAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036146298

License Status

NOT RENEWED

Business

Title

First Name

NIDAULLAH

Last Name

MIAN

Business Name

NIDAULLAH MIAN MD

Original Issue Date

05/24/2018

Effective Date

05/24/2018

Expiration Date

09/30/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/14/2021