SHAZLI MANZOOR Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035324

License Status

EXPIRED

Business

First Name

SHAZLI

Last Name

MANZOOR

Business Name

SHAZLI MANZOOR

Original Issue Date

07/02/1996

Effective Date

07/02/1996

Expiration Date

06/30/1999

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006