SHAHNAZ AZAD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035362

License Status

EXPIRED

Business

First Name

SHAHNAZ

Last Name

AZAD

Business Name

SHAHNAZ AZAD

Original Issue Date

07/11/1996

Effective Date

07/11/1996

Expiration Date

06/30/2002

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Infectious Disease

Ever Disciplined

LastModifiedDate

09/22/2006