MD ASHEQUL ISLAM MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000219

License Status

EXPIRED

Business

First Name

MD ASHEQUL

Last Name

ISLAM

Suffix

Business Name

MD ASHEQUL ISLAM MD

Original Issue Date

04/22/2004

Effective Date

04/22/2004

Expiration Date

11/09/2004

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/23/2006