TANAZ VAGHAIWALLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036147054

License Status

NOT RENEWED

Business

Title

First Name

TANAZ

Last Name

VAGHAIWALLA

Business Name

TANAZ VAGHAIWALLA MD

Original Issue Date

07/27/2018

Effective Date

07/27/2018

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021