ALA AL-LAWATI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000524

License Status

NOT RENEWED

Business

Title

First Name

ALA

Last Name

AL-LAWATI

Business Name

ALA AL-LAWATI MD

Original Issue Date

01/15/2016

Effective Date

01/15/2016

Expiration Date

07/14/2016

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatric Surgery

Ever Disciplined

LastModifiedDate

03/09/2017