SHARIQ S MUJTABA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031735

License Status

EXPIRED

Business

First Name

SHARIQ S

Last Name

MUJTABA

Business Name

SHARIQ S MUJTABA

Original Issue Date

06/08/1994

Effective Date

06/08/1994

Expiration Date

06/30/1998

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006