VIQUAR M KHAN MUNDOZIE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040090

License Status

EXPIRED

Business

First Name

VIQUAR

Middle

Last Name

KHAN MUNDOZIE

Business Name

VIQUAR M KHAN MUNDOZIE

Original Issue Date

07/01/1999

Effective Date

07/01/1999

Expiration Date

06/30/2002

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006