MINA FAZLI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032284

License Status

EXPIRED

Business

First Name

MINA

Last Name

FAZLI

Suffix

Business Name

MINA FAZLI MD

Original Issue Date

08/01/1994

Effective Date

08/01/1994

Expiration Date

07/31/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006