BITA ESMAELI-AZAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025156

License Status

EXPIRED

Business

First Name

BITA

Last Name

ESMAELI-AZAD

Business Name

BITA ESMAELI-AZAD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006