ABDUL WASE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125015098

License Status

EXPIRED

Business

First Name

ABDUL

Last Name

WASE

Business Name

ABDUL WASE

Original Issue Date

12/20/1982

Effective Date

12/20/1982

Expiration Date

12/15/1984

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006