SHUMYLE ALAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125039939

License Status

EXPIRED

Business

First Name

SHUMYLE

Last Name

ALAM

Business Name

SHUMYLE ALAM

Original Issue Date

06/24/1999

Effective Date

06/24/1999

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

09/22/2006