SHIRENE M NOURBASH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033685

License Status

EXPIRED

Business

First Name

SHIRENE

Middle

Last Name

NOURBASH

Business Name

SHIRENE M NOURBASH

Original Issue Date

06/29/1995

Effective Date

06/29/1995

Expiration Date

06/28/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006