EJAZ SHAMIM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036140

License Status

EXPIRED

Business

First Name

EJAZ

Last Name

SHAMIM

Business Name

EJAZ SHAMIM

Original Issue Date

05/16/1997

Effective Date

05/16/1997

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60616

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006