ANTWAN MARDINI Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019424

License Status

EXPIRED

Business

First Name

ANTWAN

Last Name

MARDINI

Business Name

ANTWAN MARDINI

Original Issue Date

06/18/1986

Effective Date

06/18/1986

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006