OMER S MIRZA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037052

License Status

CANCELLED

Business

First Name

OMER

Middle

Last Name

MIRZA

Suffix

Business Name

OMER S MIRZA MD

Original Issue Date

07/01/1997

Effective Date

07/01/1997

Expiration Date

06/26/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006